老年医学与保健2013，Vol.19Issue(3)：142-145,148,5.DOI:10.3969/j.issn.1008-8296.2013-05
上海市某社区老年人皮肤肿瘤流行病学研究
Epidemiological study of elderly skin tumors in a community in Shanghai
摘要
Abstract
Objective To investigate the prevalence and associated risk factors of skin cancers in Shanghai through a community-based survey.Methods Between 4May and November 2011,a community-wide skin cancer screening was conducted among residents over 60 years using a cluster sampling survey with questionnaires and dermatological examinations.Results 2 043 residents were surveyed.Seborrheic keratosis was observed in all residents with benign tumors.Other benign diseases were keratoacanthoma,cutaneous horn and actinic collagen diseases (16 cases,0.78％).Among 76 cases of pathologically proven malignant lesions,actinic keratosis (AK) had the highest prevalence (3.07％),followed by basal cell carcinoma (BCC,0.44％),squamous cell carcinoma (0.15％),and Bowen disease (0.05％).Regarding an atomical distribution,67.39％ of malignant lesions occurred in head and neck region,dominated by AK and BCC.Among 95 suspected lesions,the accordance rate between clinical diagnosis and pathological findings was up to 80％.The most common skin type was type Ⅳ in this surveyed population.However,residents with type Ⅲ skin had the highest prevalence of skin cancer (P＜ 0.05).Long term UV exposure correlated with higher incidence of non-melanoma skin cancer (P＜0.05).Conclusions This study showed that the prevalence of non-melanoma skin cancer increased with aging in Shanghai and head and neck region was the prevalent site.Aging,ultraviolet exposure and light skin could be the contributing factors.关键词
皮肤肿瘤/流行病学/患病率/危险因素Key words
Skin neoplasms/ Statistical analysis/ Morbidity rate/ Risk factors分类
医药卫生引用本文复制引用
涂庆峰,吕婷,赖永贤,张玲琳,石磊,李晶晶,张云凤,李欣,王秀丽..上海市某社区老年人皮肤肿瘤流行病学研究[J].老年医学与保健,2013,19(3):142-145,148,5.基金项目
上海市级医院适宜技术联合开发推广应用项目(SHDC12010211) （SHDC12010211）
上海市自然基金项目(11ZR1432800) （11ZR1432800）
上海市卫生局A类重点项目(20124034) （20124034）
