Trends of skin cancer in the Canton of Vaud, 1976-92. 1995

F Levi, and S Franceschi, and V C Te, and L Randimbison, and C La Vecchia
Institut universitaire de médecine sociale et préventive, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.

Trends in incidence and mortality for basal cell carcinomas (BCC), squamous cell carcinomas (SCC) and cutaneous malignant melanoma (CMM) for the period 1976-92 were analysed using data from the Cancer Registry of the Swiss Canton of Vaud. Among the 12,473 cases registered, 63% were basal cell carcinomas, 25% squamous cell cancers, 9% cutaneous malignant melanomas and 3% other miscellaneous histological types. Age-standardised incidence rates increased substantially for all histological types considered, from 44% increase for BCC in males to a more than 3-fold increase for SCC in females, with only signs of a levelling off in 1991-92, following a peak of incidence rates in 1986-90. From 1976-80 to 1991-92 CMM incidence increased by approximately 80% in both sexes. In 1991-92, age-standardised (world) incidence rates per 100,000 were 69.3 for basal cell, 29.1 for squamous cell cancers and 11.5 for melanomas in males, and, respectively, 62.2, 18.0 and 12.3 in females. With respect to mortality, in males rates increased for both non-melanocytic cancer (> 40%) and CMM (> 53%) whereas in females CMM, BCC and SCC rates remained approximately stable over the calendar periods examined. In 1991-92, age-standardised mortality rates per 100,000 were 2.6 for melanoma and 0.7 for other skin cancers in males, and, respectively, 1.6 and 0.2 in females. Upward trends in incidence were also present, and relatively homogeneous across, various age groups examined. However, SCC and CMM levelled off over the last period, and some decline was apparent in males below age 45. Separate analysis by anatomical site showed substantial increases in the head and neck for SCC and BCC, and in the trunk for CMM. In 1991-92, middle-aged women had almost equalled male incidence rates of BCC and SCC. A female excess of CMM incidence seemed to have disappeared since 1981-86. The increase in skin cancer incidence thus continued in this population up to the late 1980s, with a plateau only after 1990.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D012737 Sex Factors Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances. Factor, Sex,Factors, Sex,Sex Factor
D012878 Skin Neoplasms Tumors or cancer of the SKIN. Cancer of Skin,Skin Cancer,Cancer of the Skin,Neoplasms, Skin,Cancer, Skin,Cancers, Skin,Neoplasm, Skin,Skin Cancers,Skin Neoplasm

Related Publications

F Levi, and S Franceschi, and V C Te, and L Randimbison, and C La Vecchia
August 2001, European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP),
F Levi, and S Franceschi, and V C Te, and L Randimbison, and C La Vecchia
January 1991, European journal of cancer (Oxford, England : 1990),
F Levi, and S Franceschi, and V C Te, and L Randimbison, and C La Vecchia
November 1990, British journal of cancer,
F Levi, and S Franceschi, and V C Te, and L Randimbison, and C La Vecchia
December 1988, International journal of cancer,
F Levi, and S Franceschi, and V C Te, and L Randimbison, and C La Vecchia
October 1992, British journal of cancer,
F Levi, and S Franceschi, and V C Te, and L Randimbison, and C La Vecchia
June 1981, Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis,
F Levi, and S Franceschi, and V C Te, and L Randimbison, and C La Vecchia
June 1988, Revue medicale de la Suisse romande,
F Levi, and S Franceschi, and V C Te, and L Randimbison, and C La Vecchia
January 1977, Sozial- und Praventivmedizin,
F Levi, and S Franceschi, and V C Te, and L Randimbison, and C La Vecchia
November 1996, European journal of cancer (Oxford, England : 1990),
F Levi, and S Franceschi, and V C Te, and L Randimbison, and C La Vecchia
January 1962, Oncologia,
Copied contents to your clipboard!