The relationship between occupational sun exposure and non-melanoma skin cancer: clinical basics, epidemiology, occupational disease evaluation, and prevention
BACKGROUND: The cumulative effect of solar ultraviolet (UV) radiation is responsible for the worldwide increase in non-melanoma skin cancer, a category that includes squamous cell carcinoma and its precursors (the actinic keratoses) as well as basal-cell carcinoma. Non-melanoma skin cancer is the mo...
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2012
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| In: |
Deutsches Ärzteblatt
Year: 2012, Jahrgang: 109, Heft: 43, Pages: 715-720 |
| ISSN: | 1866-0452 |
| DOI: | 10.3238/arztebl.2012.0715 |
| Online-Zugang: | Verlag, Volltext: http://dx.doi.org/10.3238/arztebl.2012.0715
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| Verfasserangaben: | Manigé Fartasch, Thomas Ludwig Diepgen, Jochen Schmitt, Hans Drexler |
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| 240 | 1 | 0 | |a Zusammenhang von beruflich bedingter Sonnenexposition und hellem Hautkrebs |
| 245 | 1 | 4 | |a The relationship between occupational sun exposure and non-melanoma skin cancer |b clinical basics, epidemiology, occupational disease evaluation, and prevention |c Manigé Fartasch, Thomas Ludwig Diepgen, Jochen Schmitt, Hans Drexler |
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| 520 | |a BACKGROUND: The cumulative effect of solar ultraviolet (UV) radiation is responsible for the worldwide increase in non-melanoma skin cancer, a category that includes squamous cell carcinoma and its precursors (the actinic keratoses) as well as basal-cell carcinoma. Non-melanoma skin cancer is the most common type of cancer in areas of the world with a light-skinned population. The occupational exposure to UV radiation is high in many outdoor occupations; recent studies suggest that persons working in such occupations are more likely to develop non-melanoma skin cancer. METHODS: On the basis of a selective review of the literature, we present the current state of knowledge about occupational and non-occupational UV exposure and the findings of meta-analyses on the association of outdoor activity with non-melanoma skin cancer. We also give an overview of the current recommendations for prevention and for medicolegal assessment. RESULTS: Recent meta-analyses have consistently documented a significantly higher risk of squamous cell carcinoma of the skin among persons who work outdoors (odds ratio [OR] 1.77, 95% confidence interval [CI] 1.40-2.22, p<0.001). There is also evidence for an elevated risk of basal-cell carcinoma (OR 1.43, 95% CI 1.23-1.66, p = 0.0001), but the effect is of lesser magnitude and the study findings are not as uniform. CONCLUSION: The association of occupational exposure to solar UV radiation with squamous cell carcinoma, including actinic keratosis, has been conclusively demonstrated. It follows that, in Germany, suspected non-melanoma skin cancer in persons with high occupational exposure to UV radiation should be reported as an occupational disease under § 9, paragraph 2 of the Seventh Book of the German Social Code (Sozialgesetzbuch, SGB VII). Preventive measures are urgently needed for persons with high occupational exposure to UV radiation. | ||
| 650 | 4 | |a Causality | |
| 650 | 4 | |a Environmental Exposure | |
| 650 | 4 | |a Humans | |
| 650 | 4 | |a Melanoma | |
| 650 | 4 | |a Neoplasms, Radiation-Induced | |
| 650 | 4 | |a Occupational Diseases | |
| 650 | 4 | |a Prevalence | |
| 650 | 4 | |a Protective Clothing | |
| 650 | 4 | |a Risk Assessment | |
| 650 | 4 | |a Skin Neoplasms | |
| 650 | 4 | |a Sunlight | |
| 650 | 4 | |a Sunscreening Agents | |
| 650 | 4 | |a Ultraviolet Rays | |
| 700 | 1 | |a Diepgen, Thomas L. |d 1953-2020 |e VerfasserIn |0 (DE-588)120024136 |0 (DE-627)080392725 |0 (DE-576)166354066 |4 aut | |
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