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Squamous cell carcinoma in Kauai, Hawaii
T Y Chuang1, G T Reizner, D J Elpern
1Department of Dermatology, Wright State University School of Medicine, Dayton, Ohio, USA.
International Journal of Dermatology
|June 1, 1995
Summary
Squamous cell carcinoma (SCC) incidence in Kauai, Hawaii, is the highest recorded in the U.S. This study highlights the significant burden of skin cancer in the region, emphasizing the need for awareness and prevention strategies.
Area of Science:
- Dermatology
- Epidemiology
- Oncology
Background:
- Squamous cell carcinoma (SCC) is a common skin cancer, with over 100,000 U.S. cases annually.
- Ozone depletion and sunbathing behaviors increase skin cancer risk.
- Hawaii may experience the highest skin cancer rates nationally.
Purpose of the Study:
- To determine the incidence of squamous cell carcinoma (SCC) in Caucasian residents of Kauai, Hawaii.
- To provide updated data on skin cancer prevalence in a high-risk population.
Main Methods:
- A 5-year prospective, population-based incidence study.
- Conducted on Kauai, Hawaii, from 1983 to 1987.
- Focused on Caucasian residents.
Main Results:
- Identified 58 new cases of SCC over 5 years.
- Reported an average annual incidence rate of 118 per 100,000 Caucasian residents.
- Head and neck were the most common sites; 13.8% experienced subsequent SCC.
Conclusions:
- Kauai exhibits the highest documented incidence rate of squamous cell carcinoma (SCC) in the United States.
- No significant trend in SCC incidence was observed during the study period.