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P58 Early-onset basal cell carcinoma

Skiljevic, D.; Stojkovic-Filipovic, J.; Nikolic, M.; Medenica, L.

doi: 10.1097/01.cmr.0000382891.43221.59
NMSC I: Epidemiology – Genetics – Clinical Aspects
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Institute of Dermatovenereology Clinical center of Serbia, Belgrade, Yugoslavia

Introduction Basal cell carcinoma (BCC) is predominant skin cancer in Caucasian population; it constitutes approximately 80% of all nonmelanoma skin cancers. The highest incidence is in older men who have a long history of unprotected sun exposure. The overall incidence of BCC and other nonmelanoma skin cancer is increasing with a decreasing age of onset.

Methods We report a case of a 23-year-old Caucasian male with 2-month-history of rapid-growing ulcerated nodule in his left temporal region.

Results Clinical, dermoscopic and histological examinations confirmed the diagnosis of basal cell carcinoma. The patient wasn’t immunosupressed and had no evidence of Gorlin or other syndromes with multiple BCCs. Also, he had skin phototype III, no history of sunburn, outdoor occupation, indoor tanning or arsenic exposure. Complete excision of tumor was performed and there were no signs of relapse.

Conclusion Although BCC is considered to be only exceptionally found in younger population, except for Gorlin and other syndromes with multiple early-onset BCCs, recent data suggest that there is an increasing incidence of BCC in general population, but with decreasing age of beginning. Increase in the incidence of this cancer in the young population may lead to exponential growth in the overall occurrence of nonmelanoma skin cancers of the elderly population, especially considering age-shift in population towards older age, the fact that emphasizes the need to focus on skin cancer prevention in young adults.

© 2010 Lippincott Williams & Wilkins, Inc.