Análise temporal de 21 anos do câncer de pele com base no registro de câncer de base populacional de Goiânia-Brasil
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2014-11-21
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Universidade Federal de Goiás
Resumo
Objective: To analyze the temporal evolution of incidence and trends of skin
cancer, either melanoma and nonmelanoma lesions, in the city of Goiania
during the period from 1998 to 2008. Methods: From January 1988 to
December 2008, all malignant skin tumours of the city of Goiania (Brazil),
registered by the Population Based Cancer Register of Goiania were
accessed. The cases were stratified according to gender, age, morphology
and anatomical site. The proportions, crude coefficients and incidence rates
were calculated using the SPSS version 18 software, while Poison's
regression model was obtained by Joinpoint software. Results: Twenty six
thousand nine hundred and eighty-eight registers of skin cancer were found,
19,961 basal cell carcinomas (BCC), 6,156 squamous cell carcinomas (SCC)
and 871 cutaneous melanomas (CM). Histological confirmation was
performed in more than 98% of the cases. A significant trend of increasing
incidence associated to age was observed in men with SCC (APC=6.6%)
and CM (APC=9.8%). The same trend was identified for women with CM
(APC=7.7%). A rising incidence related to age was found. Nonmelanomas
skin tumours occurred more often on face, while the trunk was more
common for melanomas. Conclusions: The incidence of BCC was stable for
both genders in Goiania during the study period. In the other hand, it was
observed an increasing incidence for CM in men and women, and SCC
showed a raise in incidence only for males. The age above 50s is a risk
factor for increasing incidence of skin cancer. The trunk and face were the
most common sites of either SCC and BCC, while cutaneous melanomas
were more often on the trunk and limbs. Prevention through a complete
physical exam is the best action for early detection of skin lesions; as well
information regarding the risks of excess chronic sun exposition is the best
primary prevention method.
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CAVARSAN, F. Análise temporal de 21 anos do câncer de pele com base no registro de câncer de base populacional de Goiânia-Brasil. 2014. 70 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2014.