Cutaneous malignant melanoma: facts about sunbeds and sunscreen

被引:12
作者
Autier, Philippe [1 ]
机构
[1] Inst Jules Bordet, Unit Epidemiol Prevent & Screening, B-1000 Brussels, Belgium
关键词
bias by indication; epidemiology; indoor tanning; melanocytic nevus; melanoma; randomized trial; regression to the mean; sun exposure; sunbed; sunscreen;
D O I
10.1586/14737140.5.5.821
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The incidence of cutaneous malignant melanoma is still increasing in most light-skinned populations. Sunscreen use has been proposed for the primary prevention of melanoma. However, sunscreen use may increase time spent in the sun when users are willing to acquire a tan or to stay in the sun for a long time, which may increase melanoma risk. When sun exposure is not associated with the desire to acquire a tan or stay in the sun for a long time, sunscreen use may prevent squamous cell skin carcinoma. Sun protection should give priority to clothing and sun exposure reduction. Over the last 20 years, tan acquisition through exposure to artificial sources of ultraviolet radiation has become frequent among fair-skinned adolescents and young adults. There is accumulating evidence that sunbed use is associated with melanoma when started before approximately 30 years of age.
引用
收藏
页码:821 / 833
页数:13
相关论文
共 84 条
[1]   The basal layer in human squamous tumors harbors more UVA than UVB fingerprint mutations: A role for UVA in human skin carcinogenesis [J].
Agar, NS ;
Halliday, GM ;
Barnetson, RS ;
Ananthaswamy, HN ;
Wheeler, M ;
Jones, AM .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2004, 101 (14) :4954-4959
[2]   Cutaneous malignant melanoma and sun exposure in Spain [J].
Arranz, JE ;
Hernandez, JJS ;
Fernandez, PB ;
Gonzalez-Baron, M ;
Auñon, PZ ;
Arranz, EE ;
Lopez, JIJ ;
Gallego, AO .
MELANOMA RESEARCH, 1999, 9 (02) :199-205
[3]   Sunscreen use and intentional exposure to ultraviolet A and B radiation:: a double blind randomized trial using personal dosimeters [J].
Autier, P ;
Doré, JF ;
Reis, AC ;
Grivegnée, A ;
Ollivaud, L ;
Truchetet, F ;
Chamoun, E ;
Rotmensz, N ;
Severi, G ;
Césarini, JP .
BRITISH JOURNAL OF CANCER, 2000, 83 (09) :1243-1248
[4]  
Autier P, 1997, MELANOMA RES, V7, pS115
[5]   Sunscreen use and duration of sun exposure:: a double-blind, randomized trial [J].
Autier, P ;
Doré, JF ;
Négrier, S ;
Liénard, D ;
Panizzon, R ;
Lejeune, FJ ;
Guggisberg, D ;
Eggermont, AMM .
JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1999, 91 (15) :1304-1309
[6]   MELANOMA AND USE OF SUNSCREENS - AN EORTC CASE-CONTROL STUDY IN GERMANY, BELGIUM AND FRANCE [J].
AUTIER, P ;
DORE, JF ;
SCHIFFLERS, E ;
CESARINI, JP ;
BOLLAERTS, A ;
KOELMEL, KF ;
GEFELLER, O ;
LIABEUF, A ;
LEJEUNE, F ;
LIENARD, D ;
JOARLETTE, M ;
CHEMALY, P ;
KLEEBERG, UR .
INTERNATIONAL JOURNAL OF CANCER, 1995, 61 (06) :749-755
[7]  
Autier P, 1991, Melanoma Res, V1, P69, DOI 10.1097/00008390-199104000-00009
[8]  
Autier P, 1998, INT J CANCER, V77, P533, DOI 10.1002/(SICI)1097-0215(19980812)77:4<533::AID-IJC10>3.0.CO
[9]  
2-7
[10]   CUTANEOUS MALIGNANT-MELANOMA AND EXPOSURE TO SUNLAMPS OR SUNBEDS - AN EORTC MULTICENTER CASE-CONTROL STUDY IN BELGIUM, FRANCE AND GERMANY [J].
AUTIER, P ;
DORE, JF ;
LEJEUNE, F ;
KOELMEL, KF ;
GEFFELER, O ;
HILLE, P ;
CESARINI, JP ;
LIENARD, D ;
LIABEUF, A ;
JOARLETTE, M ;
CHEMALY, P ;
HAKIM, K ;
KOELN, A ;
KLEEBERG, UR .
INTERNATIONAL JOURNAL OF CANCER, 1994, 58 (06) :809-813