Ciążyńska Magdalena, Narbutt Joanna, Woźniacka Anna, Lesiak Aleksandra
Department of Proliferative Diseases, Regional Oncology Center, Lodz, Poland.
Students' Faculty at the Department of Dermatology, Medical University of Lodz, Lodz, Poland.
Postepy Dermatol Alergol. 2018 Feb;35(1):47-52. doi: 10.5114/ada.2018.73164. Epub 2018 Feb 19.
Basal cell carcinoma (BCC) is the most commonly occurring cancer worldwide, and the overall incidence is still rising. Unfortunately, the cancer registry in Poland does not record BCC individually. Thus, the incidence of BCC in a defined population is unknown.
Analysis of incidence rates of primary BCC in central Poland during 16 years considering sex, site distribution and age to determine trends.
We retrospectively included all cases of BCC which were diagnosed and treated in the Department of Dermatology and Venereology, Medical University of Lodz, during the 16-year period from 1999 to 2015.
We recorded 945 BCCs occurring in 890 patients (504 females - 57%, 386 males - 43%). Patient's age was between 21 and 94. A distinct increase in BCC was observed after 1999, while after 2010 during the next 2-year period a slight decrease was noted. A statistically significant correlation was observed between histopathological types of BCC and the location of the lesions. The superficial type predominates on photoprotected areas, especially on the trunk, while the nodular type occurs mainly in facial areas. No statistically significant correlation was observed between histopathological types of BCC and sex. We found a significant increase in incidence for superficial BCC among middle-age patients, while the nodular type was observed more frequently among elderly subjects.
Basal cell carcinoma is quite common in Poland and predominantly develops in the facial area. In middle-age patients the most common is superficial BCC, while in elderly people the nodular type is most common. Based on our results we assume that there is a strong need to educate general physicians to enable them to diagnose BCC in the early stages.
基底细胞癌（BCC）是全球最常见的癌症，且总体发病率仍在上升。遗憾的是，波兰的癌症登记处并未单独记录基底细胞癌。因此，特定人群中基底细胞癌的发病率尚不清楚。
分析波兰中部16年间原发性基底细胞癌的发病率，考虑性别、部位分布和年龄以确定趋势。
我们回顾性纳入了1999年至2015年这16年间在罗兹医科大学皮肤科与性病科诊断和治疗的所有基底细胞癌病例。
我们记录了945例基底细胞癌，发生在890名患者中（女性504例 - 57%，男性386例 - 43%）。患者年龄在21岁至94岁之间。1999年后基底细胞癌明显增加，而2010年后在接下来的2年期间出现了轻微下降。基底细胞癌的组织病理学类型与病变部位之间存在统计学显著相关性。浅表型在光保护部位占主导，尤其是在躯干，而结节型主要发生在面部区域。基底细胞癌的组织病理学类型与性别之间未观察到统计学显著相关性。我们发现中年患者浅表型基底细胞癌的发病率显著增加，而结节型在老年受试者中更常见。
基底细胞癌在波兰相当常见，主要发生在面部区域。中年患者中最常见的是浅表型基底细胞癌，而在老年人中结节型最常见。根据我们的结果，我们认为非常有必要对普通医生进行培训，使他们能够在早期诊断基底细胞癌。
