Apalla Zoe, Lallas Aimilios, Sotiriou Elena, Lazaridou Elizabeth, Ioannides Demetrios
First Department of Dermatology, Medical School, Aristotle University of Thessaloniki, Greece.
Dermatol Pract Concept. 2017 Apr 30;7(2):1-6. doi: 10.5826/dpc.0702a01. eCollection 2017 Apr.
Skin cancer, including melanoma and non-melanoma skin cancer (NMSC), represents the most common type of malignancy in the white population. The incidence rate of melanoma is increasing worldwide, while the associated mortality remains stable, or is slightly decreasing. On the other hand, the incidence for NMSC varies widely, with the highest rates reported in Australia. In the current review, we highlight recent global trends in epidemiology of skin cancer. We discuss controversial issues raised in current epidemiological data, we analyze the most important risk factors associated with the development of melanoma and NMSC and the impact of skin cancer on health care services. Furthermore, we underline the pressing need for improved registration policies, especially for NMSC, and lastly, we refer to the ongoing primary and secondary prevention strategies and their outcomes so far.
皮肤癌,包括黑色素瘤和非黑色素瘤皮肤癌(NMSC),是白种人群中最常见的恶性肿瘤类型。黑色素瘤的发病率在全球范围内呈上升趋势,而其相关死亡率保持稳定,或略有下降。另一方面,NMSC的发病率差异很大,澳大利亚报告的发病率最高。在本综述中,我们重点介绍了皮肤癌流行病学的近期全球趋势。我们讨论了当前流行病学数据中提出的有争议问题,分析了与黑色素瘤和NMSC发生相关的最重要风险因素以及皮肤癌对医疗服务的影响。此外,我们强调迫切需要改进登记政策,特别是针对NMSC的登记政策,最后,我们提及了正在进行的一级和二级预防策略及其迄今为止的成果。