Hannuksela-Svahn A, Pukkala E, Karvonen J
Department of Dermatology, University of Oulu, Finland.
Arch Dermatol. 1999 Jul;135(7):781-6. doi: 10.1001/archderm.135.7.781.
To study trends of nonmelanoma skin cancer in Finland.
Descriptive analysis of incidence and mortality rates for basal cell skin carcinoma (BCC) and other non-melanoma skin cancers (NMSCs) from 1966 and 1956, respectively, through 1995 in relation to sex, age, anatomical distribution, place of residence, and occupation.
Data were obtained from the nationwide Finnish Cancer Registry, to which reporting of skin cancer is compulsory.
Inhabitants of Finland (5.1 million in 1998).
Age- and sex-specific incidence and mortality rates and overall rates adjusted for age to the world standard population; occupation-specific standardized incidence ratios, with the total Finnish population as reference.
The age-adjusted incidence rate in 1991 through 1995 for BCC was 49 per 100,000 person-years in men and 45 in women. For NMSC it was 8.7 in men and 5.3 in women. Both cancer types showed an increasing trend in incidence rates. The proportion of tumors in the face, scalp, and neck was 59% for BCC and 67% for NMSC. The incidence rate of NMSC increased from north to south, while there was no great urban-rural or occupational variation in the occurrence of NMSC. The incidence rate for BCC was higher in urban than in rural regions. Farmers, forestry workers, and fishermen showed low incidence of BCC, whereas occupations with a high level of education or compulsory health checkups and medical care occupations appeared to have an increased incidence of BCC. The mortality rate for BCC in 1991 through 1995 was 0.08 per 100,000 person-years in men and 0.05 in women, and for NMSC, it was 0.38 in men and 0.23 in women. The mortality trend was decreasing for both cancer types.
The incidence of NMSC is fairly low in Finland, accounting for 3.5% of all new cancer cases. Conversely, BCC is the most common cancer type. The incidence trend is increasing for both skin cancer types, but mortality remains low.
研究芬兰非黑色素瘤皮肤癌的发病趋势。
分别对1966年和1956年至1995年期间基底细胞皮肤癌（BCC）和其他非黑色素瘤皮肤癌（NMSC）的发病率和死亡率按性别、年龄、解剖分布、居住地点和职业进行描述性分析。
数据来自芬兰全国癌症登记处，皮肤癌报告是强制性的。
芬兰居民（1998年为510万）。
按年龄和性别划分的发病率和死亡率，以及根据世界标准人口年龄调整后的总体发病率；以芬兰总人口为参照的特定职业标准化发病率。
1991年至1995年期间，BCC的年龄调整发病率男性为每10万人年49例，女性为45例。NMSC的年龄调整发病率男性为8.7例，女性为5.3例。两种癌症类型的发病率均呈上升趋势。BCC中面部、头皮和颈部肿瘤的比例为59%，NMSC为67%。NMSC的发病率从北向南上升，而NMSC的发病在城乡或职业方面没有很大差异。BCC的发病率城市高于农村地区。农民、林业工人和渔民的BCC发病率较低，而受过高等教育或有义务进行健康检查的职业以及医疗保健职业的BCC发病率似乎有所上升。1991年至1995年期间，BCC的死亡率男性为每10万人年0.08例，女性为0.05例，NMSC的死亡率男性为0.38例，女性为0.23例。两种癌症类型的死亡率趋势均呈下降。
芬兰NMSC的发病率相当低，占所有新癌症病例的3.5%。相反，BCC是最常见的癌症类型。两种皮肤癌类型的发病率趋势均在上升，但死亡率仍然较低。
