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GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA
A Journal on Dermatology and Sexually Transmitted Diseases
Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,014
Giornale Italiano di Dermatologia e Venereologia 2017 Apr 19
Copyright © 2017 EDIZIONI MINERVA MEDICA
The epidemic spreading of basal cell carcinoma: incidence trend, demographic features, characteristics and risk factors in a retrospective study of 8557 lesions in Bologna
Valeria GASPARI, Annalisa PATRIZI, Michela VENTURI ✉, Cosimo MISCIALI, Pier A. FANTI
Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, St. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
BACKGROUND: Basal cell carcinoma (BCC) has a rising incidence worldwide. The aim was to evaluate incidence trend, demographic features and risk factors for BCC in the area of Bologna in northern-central Italy.
METHODS: All the consecutive histopathologically diagnosed BCCs at the Dermatology of the Bologna University from 1990 to 2014 were retrospectively reviewed. We evaluated the absolute number of BCCs, the demographic features of patients and the characteristics of BCCs with statistically significant correlations.
RESULTS: During the investigated 25 years, 8,557 BCCs were collected in 7,297 patients. We observed that the incidence of this cancer, after stabilizing around a plateau of 400 cases/year in 2005, progressively increased onwards reaching a maximum of cases (821) in 2014 (+105.25%), with a 8.32% mean increase per year in those last 9 years. Moreover, we found a significant correlation (p<0.01%) between gender and the onset of BCC, between the anatomic location and the occurrence of the tumor, between the onset of recurrent or new BCCs and sun exposure.
CONCLUSIONS: The present study collects the largest series in the Italian literature focused on demographic features and characteristics of BCC, highlights its higher increasing incidence in Bologna and the need to improve preventive strategies to stem the epidemic diagnosis of BCC.
KEY WORDS: Basal cell carcinoma - Epidemiology - Cutaneous neoplasms - Cutaneous oncology