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Chemical-Induced Skin Carcinogenesis Model Using Dimethylbenz[a]Anthracene and 12-O-Tetradecanoyl Phorbol-13-Acetate DMBA-TPA
Published on: December 19, 2019
Multiple Basal Cell Carcinomas. Timeline and Underlying Risk Factors.
R Fernández-de-Misa1, M Montes-de-Oca2, I Loizate1
1Servicio de Dermatología, Complejo Hospitalario Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, España.
Over half of basal cell carcinoma (BCC) patients develop multiple BCCs (mBCC). Identifying risk factors like being male or diagnosed between 50-80 can help predict mBCC development and timeframe.
Area of Science:
- Dermatology
- Oncology
- Epidemiology
Background:
- Basal cell carcinoma (BCC) frequently recurs, with 29-53% of patients developing new lesions.
- Understanding the development of multiple BCCs (mBCC) is crucial for patient management.
Purpose of the Study:
- To analyze the incidence and characteristics of patients developing more than one BCC.
- To define multiple BCC (mBCC) and identify associated risk factors.
- To determine the timeframe for mBCC development.
Main Methods:
- Retrospective observational study of 758 patients diagnosed with sporadic BCC between 2014-2014.
- Data collected included BCC dates, gender, age, histology, and initial presentation (cluster+).
- mBCC defined as developing BCCs exceeding the 75th percentile (3 lesions).
Main Results:
- Median follow-up of 100 months revealed 52.8% of patients developed more than one BCC.
- Risk factors for mBCC included initial cluster presentation (OR 5.6), male gender (OR 3.1), and first BCC diagnosis between ages 50-80 (OR 2.1).
- After 5 years, 54% of patients with these three factors developed mBCC; median time to mBCC was 38 months.
Conclusions:
- A quarter of patients with one BCC develop four or more.
- Routine clinical parameters can identify high-risk individuals for mBCC.
- Predicting the timeframe for mBCC development is possible using these factors.
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