Interventions for preventing non-melanoma skin cancers in high-risk groups

F Bath-Hextall1, J Leonardi-Bee, N Somchand

  • 1School of Nursing, University of Nottingham, Faculty of Medicine and Health Science, Room D83, Medical School, Queens Medical Centre, Nottingham, UK, NG7 2UH. fiona.bath-hextall@nottingham.ac.uk

Abstract

Insights

Preventative treatments show some promise for reducing non-melanoma skin cancers (NMSC) in high-risk individuals. However, limited trial data and inconsistent results restrict definitive conclusions on NMSC prevention strategies.

Area of Science:

  • Dermatology
  • Oncology
  • Preventative Medicine

Background:

  • Certain populations face an elevated risk of developing common non-melanoma skin cancers (NMSC).
  • Identifying effective NMSC prevention strategies is crucial for high-risk groups.

Purpose of the Study:

  • To systematically evaluate interventions aimed at preventing NMSC in individuals identified as high-risk.
  • To synthesize evidence from randomized controlled trials on NMSC prevention.

Main Methods:

  • Comprehensive literature search across multiple databases (Cochrane, MEDLINE, EMBASE) and trial registries up to March 2007.
  • Inclusion of randomized controlled trials involving adults and children at high risk for NMSC.
  • Independent study selection and quality assessment by two review authors.

Main Results:

  • T4N5 liposome lotion showed efficacy in reducing new basal cell carcinomas (BCCs) in xeroderma pigmentosum patients.
  • Acitretin significantly reduced NMSC risk in renal transplant recipients compared to placebo.
  • Evidence for retinol or isoretinoin in NMSC prevention was inconclusive; isotretinoin increased SCC risk and adverse events.
  • Selenium reduced other cancer risks but elevated NMSC risk; beta-carotene evidence was inconclusive.
  • A trend towards fewer NMSCs was observed with a reduced-fat diet.

Conclusions:

  • Some interventions may offer benefits for NMSC prevention in high-risk individuals.
  • Conclusions are limited by the small number of trials, often with single studies per intervention.
  • Inconsistent results across studies hinder definitive recommendations for NMSC prevention.

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