2015, Number 1
<< Back Next >>
Rev Cubana Estomatol 2015; 52 (1)
Premalignant cervicofacial lesions and nonmelanoma skin cancer in elderly patient
Algozaín AY, Capote LE, Hechavarría SMI, Mora GSR, Quintana DJC, Arencibia GI
Language: Spanish
References: 17
Page: 29-38
PDF size: 155.95 Kb.
ABSTRACT
Introduction: aging is currently the main demographic problem for Cuban
population. The frequency of skin cancer and other premalignant lesions in this
protective organ has increased in recent years, especially in elderly patients.
Objective: to determine clinical and epidemiological behavior of the aforementioned
lesions in elderly patients.
Method: an observational and descriptive cross-sectional study was conducted in
2011, between March and November, with patients from the area of the “Adrian
Sansaric” polyclinic in the municipality of Artemisa. A sample of 100 patients showing
premalignant and/or malignant lesions in the cervicofacial region was selected from
an initial population of 481 elderly patients.
Results: the most frequent premalignant and malignant lesions were senile keratosis
(95%) and the basal cell carcinoma (12 %), respectively. Skin colour, age, sun
exposure and occupational risk were the main factors associated with these lesions.
Patients aged 80 or more, with white skin, increased sun exposure and occupational
risk were the most susceptible. Premalignant lesions were located in the genian
(75 %) and frontal (62.5 %) regions while the malignant lesions were more frequent
in the nasal region (50 %).
Conclusions: premalignant and malignant lesions in the skin show a high prevalence
among elderly patients which significantly threaten their longevity and aesthetics.
REFERENCES
Mas P. Addressing Cuba´s aging population: Why epimapping needs to go local. MEDICC Rev. 2011;13(1):56.
National statistical bureau (CU). Proyecciones de la población cubana 2010-2030 [En línea]. Havana. National statistical bureau (CU); 2009 [consultado 10 diciembre 2010]. Disponible en: http//www.one.cu/publicaciones/cepde/envejecimiento/envejecimiento2009.pdf
Coyula M. Havana: Aging in an aging city. MEDICC Rev. 2010;12(4):27-9.
Millán I, Roca AC. La capacidad y percepción de autocuidado, una estrategia de elección para alcanzar una longevidad satisfactoria. Correo Cient Med Holguín. 2007;11(4):37-43.
Ishioka I, Alentar S, Toyomi A, Marques M, Enrique S, Yamada S. Prevalecence of precancerous skin lesions and non-melanoma skin cancer in Japanese-Brazilians in Bauru, Sao Pablo State, Brazil. Cad Saude Publica. 2009;25(5):965-71.
Rodríguez RJ, Zas TV, Silva JE, Sanchoyerto LR, Cervantes RM. Evaluación geriátrica integral, importancia, ventajas y beneficios en el manejo del adulto mayor. Panorama Cuba y Salud. 2014;9(1):35-41.
Zequeira Peña JL, García-Roco Pérez O, Arredondo López M. Incidencia de las lesiones cutáneas malignas faciales. Rev Cubana Estomatol [revista en internet]. 2003 Abr [citado 2014 Ago 09] ;40(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 75072003000100006&lng=es
Suárez B, López A, Martinez C, Navarro C, Tormo MJ, Rosso S, et al. Occupation and skin cancer: the results of the HELIOS-I multicenter case-control study. BMC Public Health. 2007;7:180.
Meal A, Leonardi-Bee J, Smith C, Hubbard R, Bath-Hextall F. Validation of THIN data for non-melanoma skin cancer. Qual Prim Care. 2008;16(1):49-52.
Madan V, Lear JT, Szeimies RM. Non-melanoma skin cancer. Lancet. 2010;375(9715):673-85.
Rhee JS, Matthews A, Neuburg M, Burzynski M, Nattinger AB. Creation of a quality of life instrument for non melanoma skin cancer patients. Laryngoscope. 2005;115(7):1178-85.
Gloster Jr. HM, Neal K. Skin cancer in skin of color. J Am Acad Dermatol. 2006;55:741-60.
Ishioka I, Alentar S, Toyomi A, Marques M, Enrique S, Yamada S. Prevalecence of precancerous skin lesions and non-melanoma skin cancer in Japanese-Brazilians in Bauru, Sao Pablo State, Brazil. Cad Saude Publica. 2009;25(5):965-71.
Sampaio SAP, Rivitti EA. Dermatología. 3ra ed. Sao Paulo: Editora Artes Médicas. 2007.
Santana JA, Hernández BI, Martínez I, Negrín L, López MA. Lesiones precancerosas y cánceres cutáneos del paciente anciano. Rev Cubana Oncol. 2000;16(1):26-9.
Alerić Z, Bauer V. Skin growths of the head and neck region in elderly patients. Analysis of two five-year periods in General Hospital Karlovac, Croatia. Coll Antropol. 2011;35 Suppl 2:195-8.
Pua VS, Huilgol S, Hill D. Evaluation of the treatment of non-melanoma skin cancers by surgical excision. Australas J Dermatol. 2009;50(3):171-5.