학술논문

Narrative review of the epidemiology/biology of basal cell carcinoma: a need for public health consensus.
Document Type
Article
Source
ANZ Journal of Surgery. Jun2021, Vol. 91 Issue 6, p1098-1103. 6p.
Subject
*BASAL cell carcinoma
*SKIN cancer
*PUBLIC health
*LEGISLATIVE reform
*CYTOLOGY
*EPIDEMIOLOGY
Language
ISSN
1445-1433
Abstract
Basal cell carcinoma (BCC) is the most common skin malignancy afflicting modern Australian society. The most influential response to rising BCC incidence rates has been through public health primary prevention campaigns (PPC) which have persevered since the 1980s. These campaigns are widely heralded a success but clinical data quantifying these benefits are limited due to an absence of legislation around BCC reporting. A non‐systematic search of the literature was conducted identifying articles investigating the incidence and clinical characteristics of BCC over the past 40 years, as well as the economic viability of the PPC. There is robust evidence supporting stabilizing rates of BCC incidence in Australia. Similarly, multiple studies have shown the economic benefits of PPC through cost analysis. Anatomical and histological data are reported inconsistently, consequently limiting analysis of changes in BCC clinical characteristics. The consensus throughout the literature is that BCC is a significant public health issue that requires legislative reform. This narrative literature review serves to highlight the need for statutory changes around non‐melanocytic skin cancer data collection to enable appropriate analysis and evaluation of current management strategies. [ABSTRACT FROM AUTHOR]