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Cancer Causes & Control

, Volume 19, Issue 8, pp 879–885 | Cite as

Deaths from non-melanoma skin cancer in Western Australia

  • J. Girschik
  • Lin Fritschi
  • T. Threlfall
  • T. Slevin
Original Paper

Abstract

Objectives

Non-melanoma skin cancer (NMSC) is common, slow growing, and rarely metastasizes. However, there are still nearly 400 deaths from NMSC in Australia annually. We aimed to investigate the accuracy of NMSC death coding and to describe the characteristics of these deaths and the potential for prevention.

Methods

Histology reports for all deaths coded as NMSC (ICD-10 C44.0-C44.9) by the Western Australian Cancer Registry for the years 1996–2005 were reviewed for type of cancer, body site (primary tumor and metastases), and level of available documentation.

Results

Of 368 deaths recorded as being due to NMSC only 3 were found to be miscoded. An additional 53 deaths contained inadequate information to confirm NMSC as the cause of death. Of the confirmed cases, 219 were due to squamous cell carcinoma, 53 to Merkel cell carcinomas, and 40 to other skin cancers. Cases were mainly males and were elderly. Most of the primary squamous and Merkel cell carcinomas were in areas of maximum sun exposure (face, ears, and hands, and scalp in males).

Conclusions

Misclassification of NMSC deaths in WA was minimal. The majority of NMSC deaths were due to squamous cell carcinomas; had primary sites associated with significant sun exposure; and occurred in older men.

Keywords

Non-melanoma skin cancer Sun exposure Mortality Second cancer Squamous cell carcinoma Merkel cell carcinoma 

Notes

Acknowledgments

Lin Fritschi is supported by an Australian National Health and Medical Research Council Fellowship. We would like to thank the staff of the Western Australian Cancer Registry for considerable assistance in the identification and classification of cases.

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Copyright information

© Springer Science+Business Media B.V. 2008

Authors and Affiliations

  • J. Girschik
    • 1
  • Lin Fritschi
    • 1
  • T. Threlfall
    • 2
  • T. Slevin
    • 3
    • 4
  1. 1.Western Australian Institute for Medical ResearchNedlandsAustralia
  2. 2.Department of HealthWestern Australian Cancer RegistryEast PerthAustralia
  3. 3.The Cancer Council of Western AustraliaWest PerthAustralia
  4. 4.Centre for Behavioural Research in Cancer ControlCurtin University of TechnologyPerthAustralia

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