Characterization of the elderly with a possible diagnosis of skin cancer

  • José Antonio Bordelois Abdo “Dr. Agostinho Neto” General Teaching Hospital
  • Mauricio López Mateus “Dr. Agostinho Neto” General Teaching Hospital
  • Iliana Fernández Ramírez “Dr. Agostinho Neto” General Teaching Hospital
Article ID: 191
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Keywords: skin cancer, basal cell carcinoma, squamous cell carcinoma

Abstract

Introduction:In Cuba, the study of skin cancer in the elderly is one of the social demands. Objective: To describe the clinical epidemiological characteristics of patients with a possible diagnosis of SCin the nursing homes “Caridad Jaca” and “San José” in Guantánamo City in 2017. Method:An observational, prospective, and cross-sectional study was conductedin all theelders (n = 256), and to those elders with possible skin cancer (n = 15); the age, sex, place of birth, address, personal medical history, photos of skin types, lesion characteristics, clinical and dermoscopic diagnosis were specified.Results: 5.9% of the elders were diagnosed with skin cancer. It was more common in men (53.4%),people aged from 70 to 79 (53.4%), and people born or lived in urban areas with skin phototype III (40.0%), 100.0% of which are exposed to sunlight, and 86.7% without sun block. Cancers were more frequently foundin the face (66.7%) less than 1 cm in size (46.6%), which have progressed 3 to 4 years (60.0%), and were single lesions (86, 7%) and basal cell carcinomas (46.6%). 80.0% of all the cases showed a clinical-dermoscopic diagnosis correlation. Conclusions: The incidence of skin cancer in the elderly was low. However, more attention is needed to ensure the diagnosis of this disease at its early stage.
Published
2022-04-20
How to Cite
Bordelois Abdo, J. A., López Mateus, M., & Fernández Ramírez, I. (2022). Characterization of the elderly with a possible diagnosis of skin cancer. Journal of Surgical Dermatology, 9(1), 21-26. https://doi.org/10.18282/jsd.v7.i2.191
Section
Original Research Articles

References

Pérez RP, Martínez AFM, Sabater RJ, Tarazona-Santabalbinaa FJ. Dermatological quality of life in community-dwelling frail elderly people. Aten Primaria 2016; 48(10): 683–689. DOI: 10.1016/j.aprim.2016.02.005.

Lee LJ, Asgari M. Epidemiology and risk factors for cutaneous squamous cell carcinoma] [Internet]. 2016. Available from: https://www.uptodate.com/contents/epidemiology-and-risk-factors-for-cutaneous-squamous-cell-carcinoma.pdf.

Cheirif WO, Vélez MRC, Tinoco FF, Hernández SD, García HL. Dermatosis frecuentes en pacientes geriátricos hospitalizados en un servicio de medicina interna [Frequent dermatoses in geriatric patients hospitalized in an internal medicine service]. Dermatol Rev Mex 2017; 61(6): 441–448.

World Health Organization (WHO). OMS desaconseja el uso de camas solares a las personas menores de 18 años [The World Health Organization recommends that no person under 18 should use a sunbed] [Internet]. 2018. Available from: http://www.who.int/mediacentre/news/notes/2005/np07/es/index.html.

American Cancer Society (ACS). [Internet]. 2017. Available from: https://www.cancer.org/es/cancer/cancer-de-piel-tipo-melanoma/estadísticas.

Sialer-Vildózola MC, Navarrete Mejía PJ. Epidemiological characteristics of skin cancer no melanoma in military, 2015-2016. Peru. Rev Argent Dermatol 2017; 98(4).

Directorate of Medical Records and Health Statistics. Anuario estadístico de salud. La Habana: Ministerio de Salud Pública; 2017 [Health statistical yearbook. Havana: Ministry of Public Health; 2017] [Internet]. 2018. Available from: http://www.sld.cu/sitios/dne/.

Martínez G, Guerra MM. Frequent dermatosis in geriatric patients of Matanzas. Rev Med Electrón 2012; 34: 309–320.

Guevara HA. Malignat and premalignat skin diseases in the geriatric patient. Sancti Spíritus. Year 2010. Gac Méd Esp 2012; 14(3): 21–29.

Arenas GR. Dermatología. Atlas, diagnóstico y tratamiento [Dermatology. Atlas, diagnosis and treatment]. Mexico: Mc Graw Hill Interamericana; 2015.

Fitzpatrick TB. Dermatología en Medicina General [Dermatology in General Medicine]. 8th ed. Mexico: Panamerican Medical Press; 2014.

Ministry of Public Health (Cuba). Objetivos de trabajo para el año 2018 [Work objectives for 2018] [Internet]. 2018. Available from: http://files.sld.cu/editorhome/files/2018/01/OBJETIVOS-DE-TRABAJO-DEL-MINISTERIO-DE-SALUD-PÚBLICA-PARA-EL-AÑO-2018.pdf.

American Academy of Dermatology. Skin cancer [Internet]. 2018. Available from: https://www.aad.org/spot-skin-cancer/learn-about-skin-cancer/detect.

Skin cancer foundation [Internet]. 2018. Available from: http://www.skincancer.org/skin-cancer-information/melanoma.html.

Guenther L, Barber K, Searles G, Lynde C, Janiszewski P, et al. Non-melanoma Skin Cancer in Canada Chapter 1: Introduction to the Guidelines. J Cutan Med and Surg 2015; 19(3): 205–215. DOI: 10.1177/1203475415588652.

O’Leary R, Diehl J, Le P. Update on tanning: More risk, fewer benefits. J Am Acad Dermatol 2014; 70(3): 562–568.

Pfifister DG, AngKK, Brizel DM, Burtness BA, Busse PM, et al. Head and neck cancers. J Natl Compr Canc Netw 2013; 11(8): 917–923. DOI: 10.6004/jnccn.2013.0113

Santana VM, Pedriall CA, Kaneko TM, Baby AR. Proteção à radiação ultravioleta: recursos disponíveis na atualidade em fotoproteção [Ultraviolet radiation protection: Current resources available in photoprotection]. An Bras Dermatol 2011; 86(4): 732–742.