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British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1988 Jan 2;296(6614):13–17. doi: 10.1136/bmj.296.6614.13

Incidence of non-melanocytic skin cancer treated in Australia

Graham G Giles, Robin Marks, Peter Foley
PMCID: PMC2544644  PMID: 3122913

Abstract

In 1985, as part of a national random household omnibus survey by a market research company, 30 976 Australians (mostly of European origin) were asked whether they had ever been treated by a doctor for skin cancer. The treating doctor or hospital was then approached for confirmation of the diagnosis of all those people who claimed to have been so treated within the past 12 months. Demographic data were also collected, permitting analysis by age, sex, country of birth, current residence, and skin reaction to strong sunlight.

Melanomas accounted for less than 5% of the tumours treated. The world standardised incidence of melanoma was 19/100 000 population. The standardised incidence of treated non-melanocytic skin cancer in Australia was estimated to be 823/100 000. The standardised rates for basal cell carcinoma and squamous cell carcinoma were 657 and 166/100 000 respectively, yielding a standardised rate ratio of about 4:1. Standardised rates based on medically confirmed cases only were 555, 443, and 112/100 000 for all non-melanocytic skin cancers, basal cell carcinomas, and squamous cell carcinomas respectively.

Significant differences and trends in incidence were noted with respect to age and sex. Rates in men were higher than those in women but significantly so only after the age of 60. People born in Australia had a rate of 936/100 000 compared with 402/100 000 in British migrants. Rates for non-melanocytic skin cancer showed a gradient with respect to latitude within Australia. The rate in people residing north of 29°S was 1242/100 000 compared with a rate of 489/100 000 in those living south of 37°S. A person's skin reaction to strong sunlight was a good indicator of the risk of skin cancer, tanning ability being inversely related to its incidence. The rate in those who always burnt and never tanned when exposed to strong sunlight was 1764/100 000 compared with a rate of 616/100 000 in those who always tanned and never burnt.

These findings have important implications for public education programmes in relation to exposure to sunlight in Australia.

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Selected References

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

  1. Barton I. J., Paltridge G. W. The Australian climatology of biologically effective ultraviolet radiation. Australas J Dermatol. 1979 Aug;20(2):68–74. doi: 10.1111/j.1440-0960.1979.tb00165.x. [DOI] [PubMed] [Google Scholar]
  2. Fitzpatrick T. B., Sober A. J. Sunlight and skin cancer. N Engl J Med. 1985 Sep 26;313(13):818–820. doi: 10.1056/NEJM198509263131310. [DOI] [PubMed] [Google Scholar]
  3. Goodman G. J., Marks R., Selwood T. S., Ponsford M. W., Pakes W. Non-melanotic skin cancer and solar keratoses in Victoria--clinical studies II. Australas J Dermatol. 1984 Dec;25(3):103–106. doi: 10.1111/j.1440-0960.1984.tb00823.x. [DOI] [PubMed] [Google Scholar]
  4. Holman C. D., Armstrong B. K. Cutaneous malignant melanoma and indicators of total accumulated exposure to the sun: an analysis separating histogenetic types. J Natl Cancer Inst. 1984 Jul;73(1):75–82. [PubMed] [Google Scholar]
  5. LIGHTSTONE A. C., KOPF A. W., GARFINKEL L. DIAGNOSTIC ACCURACY--A NEW APPROACH TO ITS EVALUATION; RESULTS IN BASAL CELL EPITHELIOMAS. Arch Dermatol. 1965 May;91:497–502. doi: 10.1001/archderm.1965.01600110083017. [DOI] [PubMed] [Google Scholar]
  6. Levi F. G., Chapallaz S. Les cancers de la peau dans le canton de Vaud. Etude descriptive des cas enregistrés de 1974 à 1978 par le registre vaudois des tumeurs. Schweiz Rundsch Med Prax. 1981 Jun 16;70(25):1120–1130. [PubMed] [Google Scholar]
  7. Lynch F. W., Seidman H., Hammond E. C. Incidence of cutaneous cancer in Minnesota. Cancer. 1970 Jan;25(1):83–91. doi: 10.1002/1097-0142(197001)25:1<83::aid-cncr2820250113>3.0.co;2-f. [DOI] [PubMed] [Google Scholar]
  8. MACDONALD E. J. The epidemiology of skin cancer. J Invest Dermatol. 1959 Feb;32(2 Pt 2):379–382. [PubMed] [Google Scholar]
  9. Morison W. L., Paul B. S., Parrish J. A. The effects of indomethacin on long-wave ultraviolet-induced delayed erythema. J Invest Dermatol. 1977 Mar;68(3):130–133. doi: 10.1111/1523-1747.ep12492445. [DOI] [PubMed] [Google Scholar]
  10. Nixon R. L., Dorevitch A. P., Marks R. Squamous cell carcinoma of the skin. Accuracy of clinical diagnosis and outcome of follow-up in Australia. Med J Aust. 1986 Mar 3;144(5):235–239. [PubMed] [Google Scholar]
  11. Ponsford M. W., Goodman G., Marks R. The prevalence and accuracy of diagnosis of non-melanotic skin cancer in Victoria. Australas J Dermatol. 1983 Aug;24(2):79–82. doi: 10.1111/j.1440-0960.1983.tb00256.x. [DOI] [PubMed] [Google Scholar]
  12. SILVERSTONE H., CAMPBELL C. B., HOSKING C. B., HOSKING C. S., LANG L. P., RICHARDSON R. G. Regional studies in skin cancer. First report: North-Western Queensland. Med J Aust. 1963 Mar 2;50(1):312–315. [PubMed] [Google Scholar]
  13. Silverstone H., Gordon D. Regional studies in skin cancer. 2. Wet tropical and subtropical coasts of Queensland. Med J Aust. 1966 Oct 15;2(16):733–740. [PubMed] [Google Scholar]
  14. Silverstone H., Searle J. H. The eqpidemilogy of skin cancer in Queensland: the influence of phenotype and environment. Br J Cancer. 1970 Jun;24(2):235–252. doi: 10.1038/bjc.1970.27. [DOI] [PMC free article] [PubMed] [Google Scholar]

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