Second primary cancers in patients with skin cancer: a population-based study in Northern Ireland
2009

Second Primary Cancers in Skin Cancer Patients

Sample size: 14442 publication Evidence: moderate

Author Information

Author(s): Cantwell M M, Murray L J, Catney D, Donnelly D, Autier P, Boniol M, Fox C, Middleton R J, Dolan O M, Gavin A T

Primary Institution: Queen's University Belfast

Hypothesis

Patients with colorectal cancer would have a lower risk of subsequent skin cancer.

Conclusion

Patients with basal cell carcinoma (BCC), squamous cell carcinoma (SCC), or melanoma have an increased risk of developing new primary cancers compared to the general population.

Supporting Evidence

  • The risk of new primary cancers was increased by 9% after basal cell carcinoma and 57% after squamous cell carcinoma.
  • The risk of any subsequent cancer was more than double after melanoma.
  • Men with SCC had a three-fold increase in melanoma risk.

Takeaway

If someone has skin cancer, they might get other types of cancer more often than people without skin cancer.

Methodology

The study used data from the Northern Ireland Cancer Registry to analyze cancer incidence among patients with BCC, SCC, and melanoma from 1993 to 2002.

Potential Biases

Increased surveillance of skin cancer patients may lead to biased reporting of new primary cancers.

Limitations

The study's follow-up period was only 4 years, and it primarily involved a white population, limiting generalizability.

Participant Demographics

The study involved predominantly white patients diagnosed with skin cancer in Northern Ireland.

Statistical Information

Confidence Interval

95% CI 1.73–2.39

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604842

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