Ingvar Christian, Eriksson Hanna
Lunds Universitet Institutionen for kliniska vetenskaper i Lund - Kirurgi Lund, Sweden Lunds Universitet Institutionen for kliniska vetenskaper i Lund - Surgery Lund, Sweden.
Karolinska Universitetssjukhuset - Onkologiska kliniken Stockholm, Sweden Karolinska Universitetssjukhuset - Onkologiska kliniken Stockholm, Sweden.
Lakartidningen. 2017 May 9;114:ELAT.
Every second hour there is a new melanoma diagnosed in Sweden The incidence of melanoma in Sweden is catching up on Australia and is now close to 40/100 000 inhabitants/year, an increase of more than 5 %/year during the last 10 years. Swedes love the sun and travel a lot to sunny places like Spain and Thailand. There is a clear socioeconomic trend: the better economy and education, the more you travel and the more melanoma you get. Sunbed use is a clear risk factor and is now prohibited for young people. The proportion of thin melanomas (4 mm). This group with a much worse prognosis is mostly old people, both women and men, who do not seem to seek medical care in time. Mortality is quite steady, 5/100 000/year, translating to 500 patients, double the number of Swedes killed in traffic every year. The Swedish National Melanoma Registry covers 98% of all invasive cutaneous melanoma since 1990 and together with a regular update through the Death Registry a population based risk model has been developed for significant prognostic factors.
在瑞典,每隔一小时就有一例新的黑色素瘤被确诊。瑞典黑色素瘤的发病率正在追赶澳大利亚,目前已接近每年每10万居民中有40例,在过去10年中每年增长超过5%。瑞典人热爱阳光,经常前往西班牙和泰国等阳光充足的地方旅行。存在明显的社会经济趋势:经济和教育水平越高,旅行越多,患黑色素瘤的几率就越高。使用日光浴床是一个明确的风险因素,现在已禁止年轻人使用。薄黑色素瘤(厚度小于1毫米)的比例正在下降,而厚黑色素瘤(厚度大于4毫米)的比例正在上升。这一预后差得多的群体大多是老年人,无论男女,他们似乎没有及时寻求医疗护理。死亡率相当稳定,为每年每10万居民中有5例,即500名患者,这一数字是每年在瑞典死于交通事故人数的两倍。自1990年以来,瑞典国家黑色素瘤登记处涵盖了所有侵袭性皮肤黑色素瘤的98%,并通过死亡登记处定期更新,已针对重要的预后因素建立了基于人群的风险模型。