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. 1985 Dec;52(6):893–900. doi: 10.1038/bjc.1985.274

Seasonality of presentation of cutaneous melanoma, squamous cell cancer and basal cell cancer in the Oxford Region.

A J Swerdlow
PMCID: PMC1977280  PMID: 4074641

Abstract

The seasonality of presentation of 1019 skin melanomas in Oxford Region 1952-1975, and of 1,523 squamous cell and 4,865 basal cell skin cancers in the region 1967-1975, were analysed using data from the Oxford Cancer Registry. For males and for females, for each of the histologies there was a peak of presentations during July to September. In further subdivisions of the data by age and by skin site, a summer or autumn peak was generally present except where numbers of cases were small. Amplitude of seasonality did not show consistent differences by histology, sex, or skin site, but for both melanoma and squamous cell cancer amplitude was greater for persons aged under 55 years than for older persons. There was no substantial seasonality for presentations of cancers of all non-skin sites in the region. The seasonality of presentation of skin cancers appeared not to be mainly an artefact of the cancer registration process or of organisational aspects of medical care attendance, and only a small proportion of it could be explained as an artefact of the longer term increase in registrations of these cancers. The visibility of skin cancers might have lead to seasonal variation in rapidity of presentation to medical care, for instance for social reasons, or the results might reflect a short induction period effect of exposure to a seasonal insult, perhaps sun radiation, on the aetiology, growth or symptoms of skin cancers; for melanoma there is previous evidence suggesting a short induction period aetiological effect of sun radiation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cohen P. Cancer and seasonal patterns. Am J Epidemiol. 1983 Nov;118(5):785–786. doi: 10.1093/oxfordjournals.aje.a113695. [DOI] [PubMed] [Google Scholar]
  2. Crombie I. K. Distribution of malignant melanoma on the body surface. Br J Cancer. 1981 Jun;43(6):842–849. doi: 10.1038/bjc.1981.123. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. EDWARDS J. H. The recognition and estimation of cyclic trends. Ann Hum Genet. 1961 May;25:83–87. doi: 10.1111/j.1469-1809.1961.tb01501.x. [DOI] [PubMed] [Google Scholar]
  4. Elwood J. M., Gallagher R. P. Site distribution of malignant melanoma. Can Med Assoc J. 1983 Jun 15;128(12):1400–1404. [PMC free article] [PubMed] [Google Scholar]
  5. Elwood J. M., Hislop T. G. Solar radiation in the etiology of cutaneous malignant melanoma in Caucasians. Natl Cancer Inst Monogr. 1982;62:167–171. [PubMed] [Google Scholar]
  6. Fears T. R., Scotto J., Schneiderman M. A. Mathematical models of age and ultraviolet effects on the incidence of skin cancer among whites in the United States. Am J Epidemiol. 1977 May;105(5):420–427. doi: 10.1093/oxfordjournals.aje.a112400. [DOI] [PubMed] [Google Scholar]
  7. Hewitt D., Milner J., Csima A., Pakula A. On Edwards' criterion of seasonality and a non-parametric alternative. Br J Prev Soc Med. 1971 Aug;25(3):174–176. doi: 10.1136/jech.25.3.174. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hinds M. W., Lee J., Kolonel L. N. Seasonal patterns of skin melanoma incidence in Hawaii. Am J Public Health. 1981 May;71(5):496–499. doi: 10.2105/ajph.71.5.496. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Holman C. D., Armstrong B. K., Heenan P. J. A theory of the etiology and pathogenesis of human cutaneous malignant melanoma. J Natl Cancer Inst. 1983 Oct;71(4):651–656. [PubMed] [Google Scholar]
  10. Holman C. D., Heenan P. J., Caruso V., Glancy R. J., Armstrong B. K. Seasonal variation in the junctional component of pigmented naevi. Int J Cancer. 1983 Feb 15;31(2):213–215. doi: 10.1002/ijc.2910310213. [DOI] [PubMed] [Google Scholar]
  11. Houghton A. N., Viola M. V. Solar radiation and malignant melanoma of the skin. J Am Acad Dermatol. 1981 Oct;5(4):477–483. doi: 10.1016/s0190-9622(81)70109-9. [DOI] [PubMed] [Google Scholar]
  12. Houghton A., Flannery J., Viola M. V. Malignant melanoma in Connecticut and Denmark. Int J Cancer. 1980 Jan 15;25(1):95–104. doi: 10.1002/ijc.2910250113. [DOI] [PubMed] [Google Scholar]
  13. Houghton A., Munster E. W., Viola M. V. Increased incidence of malignant melanoma after peaks of sunspot activity. Lancet. 1978 Apr 8;1(8067):759–760. doi: 10.1016/s0140-6736(78)90869-3. [DOI] [PubMed] [Google Scholar]
  14. Jensen O. M., Bolander A. M. Trends in malignant melanoma of the skin. World Health Stat Q. 1980;33(1):2–26. [PubMed] [Google Scholar]
  15. Lee J. A. Melanoma and exposure to sunlight. Epidemiol Rev. 1982;4:110–136. doi: 10.1093/oxfordjournals.epirev.a036243. [DOI] [PubMed] [Google Scholar]
  16. MacKie R. M., Aitchison T. Severe sunburn and subsequent risk of primary cutaneous malignant melanoma in scotland. Br J Cancer. 1982 Dec;46(6):955–960. doi: 10.1038/bjc.1982.307. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. MacKie R. M. The pathogenesis of cutaneous malignant melanoma. Br Med J (Clin Res Ed) 1983 Nov 26;287(6405):1568–1569. doi: 10.1136/bmj.287.6405.1568. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Malec E., Eklund G. The changing incidence of malignant melanoma of the skin in Sweden, 1959-1968. Scand J Plast Reconstr Surg. 1978;12(1):19–27. doi: 10.3109/02844317809010476. [DOI] [PubMed] [Google Scholar]
  19. Morton W. E., Starr G. F. Epidemiologic clues to the cause of melanoma. West J Med. 1979 Oct;131(4):263–269. [PMC free article] [PubMed] [Google Scholar]
  20. Scotto J., Nam J. M. Skin melanoma and seasonal patterns. Am J Epidemiol. 1980 Mar;111(3):309–314. doi: 10.1093/oxfordjournals.aje.a112902. [DOI] [PubMed] [Google Scholar]
  21. Swerdlow A. J. Incidence of malignant melanoma of the skin in England and Wales and its relationship to sunshine. Br Med J. 1979 Nov 24;2(6201):1324–1327. doi: 10.1136/bmj.2.6201.1324. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Walter S. D., Elwood J. M. A test for seasonality of events with a variable population at risk. Br J Prev Soc Med. 1975 Mar;29(1):18–21. doi: 10.1136/jech.29.1.18. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Wigle D. T. Malignant melanoma of skin and sunspot activity. Lancet. 1978 Jul 1;2(8079):38–38. doi: 10.1016/s0140-6736(78)91340-5. [DOI] [PubMed] [Google Scholar]

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