Nonmelanoma Skin Carcinoma in Albuquerque, New Mexico Experience of a Major Health Care Provider

摘要: BACKGROUND Although nonmelanoma skin carcinomas (NMSC) are increasing nationwide, rates difficult to measure precisely, because few registries include types of carcinoma. Albuquerque, New Mexico is a high risk site for both melanoma and NMSC. In National Cancer Institute (NCI) survey conducted between 1977 1978, NMSC incidence among non-Hispanic white males were the highest 8 national study sites. METHODS Experience with over 28.5 years at Lovelace Health Systems in described. The impact multiple tumors was emphasized, recent annual members Plan (LHP) calculated, trends since NCI estimated. RESULTS There 10,760 4958 people 1964 mid-1992, an average 2.2 lesions per person (range: 1–92 lesions). Basal cell carcinoma (BCC) 6.6 times more common than squamous (SCC), likely be multiple. There excess persons each tumor type subjects tumors. Only 46.1% first tumors; or subsequent comprised 53.7%. More half concomitant diagnosed within 1 year first, but new still appearing same 10 later. 1989 1991 LHP increased age, higher females. Hispanics had much lower whites (NHW), no sex differential. Incidence BCC have markedly 1978 NHW males, lesser extent other groups. Rates SCC not changed. ratio has doubled interval 10-fold last 2 decades. CONCLUSIONS These data confirm marked effect ethnicity, on rates. Differences highlight their somewhat different etiologies. rate late 1970s large numbers make powerful case intensified efforts primary secondary prevention. 1996;77:2489-95.