Micha John P, Bohart Randy D, Goldstein Bram H
Women's Cancer Research Foundation, Newport Beach, CA, USA.
Oso Home Care, Inc., Irvine, CA, USA.
J Oncol Pharm Pract. 2025 Mar 24:10781552251327596. doi: 10.1177/10781552251327596.
ObjectiveDespite the reported benefits of sunscreen use in preventing skin cancer, the overall protection from melanoma and non-melanoma skin cancers putatively reflects the frequency of use and sunscreen type. Herein, we review the current knowledge regarding sunscreen's effectiveness at averting the development of skin cancers.Data sourcesWe conducted an extensive PubMed search comprising several review articles on the topic of sunscreen use and prevention of skin cancer, with specific terms that included sunscreen and usage, skin cancer, and sunscreen side effects.Data summarySeveral observational, cohort studies and randomized controlled trials have underscored the benefits of sunscreen in forestalling skin cancers. In particular, the incidence of melanoma and squamous-cell carcinoma is reduced, although the effect of sunscreen on basal-cell carcinoma is relatively less pronounced.ConclusionsThe implications from this study indicate that sunscreen reduces the incidence of melanoma and non-melanoma skin cancers although deriving the intended effect is contingent upon the type of sunscreen and adherence to the recommended guidelines. The primary side effects from sunscreen include dermal irritation and rash; and since there is some indication that UV filter-based sunscreens may harbor carcinogenic properties, clinicians should advise their patients on the type of sunscreen, not to mention the frequency of use.
目的
尽管据报道使用防晒霜对预防皮肤癌有益,但对黑色素瘤和非黑色素瘤皮肤癌的总体防护作用可能反映了使用频率和防晒霜类型。在此,我们综述了有关防晒霜预防皮肤癌有效性的现有知识。
数据来源
我们在PubMed上进行了广泛搜索,包括几篇关于防晒霜使用与皮肤癌预防主题的综述文章,使用的特定检索词包括防晒霜及使用情况、皮肤癌和防晒霜副作用。
数据总结
多项观察性队列研究和随机对照试验强调了防晒霜在预防皮肤癌方面的益处。特别是,黑色素瘤和鳞状细胞癌的发病率有所降低,尽管防晒霜对基底细胞癌的作用相对不那么明显。
结论
本研究的意义表明,防晒霜可降低黑色素瘤和非黑色素瘤皮肤癌的发病率,不过要达到预期效果取决于防晒霜的类型以及是否遵循推荐指南。防晒霜的主要副作用包括皮肤刺激和皮疹;而且由于有迹象表明基于紫外线过滤剂的防晒霜可能具有致癌特性,临床医生应就防晒霜的类型向患者提供建议,更不用说使用频率了。