Abstract
A case-control study of occupational and recreational sun exposure, Mediterranean and other sun-exposed holidays, tanning history and history of isolated episodes of severe sunburn has been carried out on 113 patients with cutaneous malignant melanoma and 113 age- and sex-matched controls. Social class and skin type were also considered in the analysis of the data which involved the use of conditional multiple logistic regression. A highly significant increase in the history of severe sunburn was recorded in melanoma patients of both sexes in the 5-year period preceding presentation with their tumour. Higher social class and negative history of recreational sun exposure were also significantly increased in patients by comparison with controls. In the male group severe sunburn, lack of occupational sun exposure and higher social class were significant factors while in the female group only severe sunburn was significantly increased in the melanoma patients. This study thus provides evidence to suggest that short intense episodes of UV exposure resulting in burning may be one of the aetiological factors involved in subsequent development of melanoma.
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- Beitner H., Ringborg U., Wennersten G., Lagerlöf B. Further evidence for increased light sensitivity in patients with malignant melanoma. Br J Dermatol. 1981 Mar;104(3):289–294. doi: 10.1111/j.1365-2133.1981.tb00951.x. [DOI] [PubMed] [Google Scholar]
- Breslow N. E., Day N. E., Halvorsen K. T., Prentice R. L., Sabai C. Estimation of multiple relative risk functions in matched case-control studies. Am J Epidemiol. 1978 Oct;108(4):299–307. doi: 10.1093/oxfordjournals.aje.a112623. [DOI] [PubMed] [Google Scholar]
- Brown M. M., Sharpe C. A., Macmillan D. S., McGovern V. J. Genetic predisposition to melanoma and other skin cancers in Australians. Med J Aust. 1971 Apr 17;1(16):852–853. doi: 10.5694/j.1326-5377.1971.tb87892.x. [DOI] [PubMed] [Google Scholar]
- Gellin G. A., Kopf A. W., Garfinkel L. Malignant melanoma. A controlled study of possibly associated factors. Arch Dermatol. 1969 Jan;99(1):43–48. doi: 10.1001/archderm.99.1.43. [DOI] [PubMed] [Google Scholar]
- Klepp O., Magnus K. Some environmental and bodily characteristics of melanoma patients. A case-control study. Int J Cancer. 1979 Apr 15;23(4):482–486. doi: 10.1002/ijc.2910230407. [DOI] [PubMed] [Google Scholar]
- Lee J. A., Storer B. E. Excess of malignant melanomas in women in the British Isles. Lancet. 1980 Dec 20;2(8208-8209):1337–1339. doi: 10.1016/s0140-6736(80)92401-0. [DOI] [PubMed] [Google Scholar]
- Lee J. A., Strickland D. Malignant melanoma: social status and outdoor work. Br J Cancer. 1980 May;41(5):757–763. doi: 10.1038/bjc.1980.138. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lee J. A. The trend of mortality from primary malignant tumors of skin. J Invest Dermatol. 1972 Dec;59(6):445–448. doi: 10.1111/1523-1747.ep12627607. [DOI] [PubMed] [Google Scholar]
- Lee J. A., Yongchaiyudha S. Incidence of and mortality from malignant melanoma by anatomical site. J Natl Cancer Inst. 1971 Jul;47(1):253–263. [PubMed] [Google Scholar]
- Little J. H., Holt J., Davis N. Changing epidemiology of malignant melanoma in Queensland. Med J Aust. 1980 Jan 26;1(2):66–69. [PubMed] [Google Scholar]
- Magnus K. Incidence of malignant melanoma of the skin in the five Nordic countries: significance of solar radiation. Int J Cancer. 1977 Oct 15;20(4):477–485. doi: 10.1002/ijc.2910200402. [DOI] [PubMed] [Google Scholar]
- McGovern V. J., Shaw H. M., Milton G. W., Farago G. A. Is malignant melanoma arising in a Hutchinson's melanotic freckle a separate disease entity? Histopathology. 1980 May;4(3):235–242. doi: 10.1111/j.1365-2559.1980.tb02918.x. [DOI] [PubMed] [Google Scholar]
- 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]