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Carcinogenesis: UV Radiation*

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Textbook of Aging Skin

Abstract

Skin cancer offers the best picture of how a carcinogen causes human neoplasia. The basic principles of carcinogen exposure and slow development – discovered when Sir Percivall Pott traced scrotal cancers in adults to childhood employment as a chimney sweep – also apply to sunlight-induced cancers [1, 2]. The process begins with carcinogen exposure, DNA damage, and failure to repair DNA or apoptotically eliminate the damaged cell [36]. A mutant gene arises in a single cell, which then expands into a mutant clone [7]. Rare cells of this clone repeat the carcinogenesis cycle to generate mutations in additional genes. Sunlight acts at each of these steps.

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Notes

  1. 1.

    *This chapter is adapted with permission from Ch. 112 of Wolff, E, Goldsmith, L, Katz, S, Gilchrest, B, Paller, A and Leffell, D (eds.), Fitzpatrick's Dermatology in General Medicine, 7th ed., vol. 1, pp 999–1006, Mc-Graw-Hill, 2007.

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Correspondence to Douglas E. Brash .

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Brash, D.E., Heffernan, T.P., Nghiem, P. (2010). Carcinogenesis: UV Radiation*. In: Farage, M.A., Miller, K.W., Maibach, H.I. (eds) Textbook of Aging Skin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-89656-2_56

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  • DOI: https://doi.org/10.1007/978-3-540-89656-2_56

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