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Combined risk factors for melanoma in a Mediterranean population
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  • Regular Article
  • Open access
  • Published: 30 October 2001

Combined risk factors for melanoma in a Mediterranean population

  • M T Landi1,
  • A Baccarelli1,2,
  • D Calista3,
  • A Pesatori2,
  • T Fears4,
  • M A Tucker1 &
  • …
  • G Landi3 

British Journal of Cancer volume 85, pages 1304–1310 (2001)Cite this article

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Abstract

A case–control study of non-familial melanoma including 183 incident cases and 179 controls was conducted in North-Eastern Italy to identify important risk factors and determine how combination of these affects risk in a Mediterranean population. Presence of dysplastic nevi (OR = 4.2, 95% CI = 2.4–7.4), low propensity to tan (OR = 2.4, 95% CI = 1.1–5.0), light eye (OR = 2.4, 95% CI = 1.1–5.2), and light skin colour (OR = 4.1, 95% CI = 1.4–12.1) were significantly associated with melanoma risk after adjustment for age, gender and pigmentation characteristics. A chart which identifies melanoma risk associated with combinations of these factors is presented; it can be used to identify subjects who would most benefit from preventive measures in Mediterranean populations. According to the combination of these factors, a relative risk range from 1 to 98.5 was found. Light skin colour, high number of sunburns with blistering, and low propensity to tan were significantly associated with melanoma thickness, possibly indicating that individuals with these characteristics underestimate their risk and seek attention when their lesion is already advanced. © 2001 Cancer Research Campaign www.bjcancer.com

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Change history

  • 16 November 2011

    This paper was modified 12 months after initial publication to switch to Creative Commons licence terms, as noted at publication

References

  • Bliss JM, Ford D, Swerdlow AJ, Armstrong BK, Cristofolini M, Elwood JM, Green A, Holly EA, Mack T and MacKie RM (1995) Risk of cutaneous melanoma associated with pigmentation characteristics and freckling: systematic overview of 10 case-control studies. The International Melanoma Analysis Group (IMAGE). Int J Cancer 62: 367–376

    Article  CAS  Google Scholar 

  • Calista D, Goldstein AM and Landi MT (2000) Melanoma familial aggregation in north-eastern italy. J Invest Dermatol 115: 764–765

    Article  CAS  Google Scholar 

  • Carli P, Biggeri A and Giannotti B (1995) Malignant melanoma in Italy: risks associated with common and clinically atypical melanocytic nevi. J Am Acad Dermatol 32: 734–739

    Article  CAS  Google Scholar 

  • Cristofolini M, Franceschi S, Tasin L, Zumiani G, Piscioli F, Talamini R and La Vecchia C (1987) Risk factors for cutaneous malignant melanoma in a northern Italian population. Int J Cancer 39: 150–154

    Article  CAS  Google Scholar 

  • Elwood JM and Gallagher RP (1999) More about: sunscreen use, wearing clothes, and number of nevi in 6- to 7-year-old European children. J Natl Cancer Inst 91: 1164–1166

    Article  CAS  Google Scholar 

  • Espinosa Arranz J, Sanchez Hernandez JJ, Bravo Fernandez P, Gonzalez-Baron M, Zamora Aunon P, Espinosa Arranz E, Jalon Lopez JI and Ordonez Gallego A (1999) Cutaneous malignant melanoma and sun exposure in Spain. Melanoma Res 9: 199–205

    Article  CAS  Google Scholar 

  • Ferlay J, Bray S, Pisani P and Parkin DM (2001) GLOBOCAN 2000: Cancer incidence, mortality and prevalence worldwide, Version 1.0. CancerBase No. 5. IARCPress: Lyon. Limited version available from: URL: http://www-dep.iarc.fr/globocan/globocan.htm/

  • Garbe C, Buttner P, Weiss J, Soyer HP, Stocker U, Kruger S, Roser M, Weckbecker J, Panizzon R and Bahmer F (1994) Risk factors for developing cutaneous melanoma and criteria for identifying persons at risk: multicenter case-control study of the Central Malignant Melanoma Registry of the German Dermatological Society. J Invest Dermatol 102: 695–699

    Article  CAS  Google Scholar 

  • Goldstein AM and Tucker MA (1995) Genetic epidemiology of familial melanoma. Dermatol Clin 13: 605–612

    Article  CAS  Google Scholar 

  • Greene MA and Fraumeni JF Jr (1979) The hereditary variant of malignant melanoma. InHuman malignant melanoma, Clark WHJr, Goldman LI, Mastrangelo LJ (eds) pp 139–166. Grune and Stratton: New York

    Google Scholar 

  • Hartge P, Holly EA, Halpern A, Sagebiel R, Guerry D, Elder D, Clark W, Hanson L, Harrison C and Tarone R (1995) Recognition and classification of clinically dysplastic nevi from photographs: a study of interobserver variation. Cancer Epidemiol Biomarkers Prev 4: 37–40

    CAS  PubMed  Google Scholar 

  • Jemal A, Devesa SS, Fears TR and Hartge P (2000) Cancer surveillance series: changing patterns of cutaneous malignant melanoma mortality rates among whites in the United States. J Natl Cancer Inst 92: 811–818

    Article  CAS  Google Scholar 

  • La Vecchia C (1999) Sunscreens and the risk of cutaneous malignant melanoma. Eur J Cancer Prev 8: 267–269

    Article  CAS  Google Scholar 

  • Landi MT, Calista D, Landi G, Bernucci I, Bertazzi PA, Clark WHJ, Goldstein AM and Tucker MA (1999) Clinical characteristics of 20 Italian melanoma-prone families. Arch Dermatol 135: 1554–1555

    Article  CAS  Google Scholar 

  • MacKie RM, Freudenberger T and Aitchison TC (1989) Personal risk-factor chart for cutaneous melanoma. Lancet 2: 487–490

    Article  CAS  Google Scholar 

  • Muir CS, Waterhouse J, Mack T, Powell J and Whelan SL (1987) Cancer incidence in five continents. International Agency for Research on Cancer: Lyon

  • Naldi L, Lorenzo IG, Parazzini F, Gallus S and La Vecchia C (2000a) Pigmentary traits, modalities of sun reaction, history of sunburns, and melanocytic nevi as risk factors for cutaneous malignant melanoma in the Italian population: results of a collaborative case-control study. Cancer 88: 2703–2710

    Article  CAS  Google Scholar 

  • Naldi L, Gallus S, Imberti GL, Cainelli T, Negri E and La Vecchia C (2000b) Sunscreens and cutaneous malignant melanoma: an Italian case-control study. Int J Cancer 86: 879–882

    Article  CAS  Google Scholar 

  • Naldi L, Gallus S, Imberti GL, Cainelli T, Negri E and La Vecchia C (2000c) Sunlamps and sunbeds and the risk of cutaneous melanoma. Italian Group for Epidemiological Research in Dermatology. Eur J Cancer Prev 9: 133–134

    Article  CAS  Google Scholar 

  • Parkin DM, Muir CS, Whelan SL, Gao YT, Ferlay J and Powell J (1992) Cancer incidence in five continents. International Agency for Research on Cancer: Lyon

  • Rodenas JM, Delgado-Rodriguez M, Herranz MT, Tercedor J and Serrano S (1996) Sun exposure, pigmentary traits, and risk of cutaneous malignant melanoma: a case-control study in a Mediterranean population. Cancer Causes Control 7: 275–283

    Article  CAS  Google Scholar 

  • Rosso S, Zanetti R, Pippione M and Sancho-Garnier H (1998) Parallel risk assessment of melanoma and basal cell carcinoma: skin characteristics and sun exposure. Melanoma Res 8: 573–583

    Article  CAS  Google Scholar 

  • Scotto J, Fears TR and Fraumeni JF Jr (1996) Solar radiation. InCancer epidemiology and prevention, Schottenfeld D, Fraumeni JF Jr. (eds) pp 355–372, Oxford University Press: New York

    Google Scholar 

  • Tucker MA, Halpern A, Holly EA, Hartge P, Elder DE, Sagebiel RW, Guerry D and Clark WHJ (1997) Clinically recognized dysplastic nevi. A central risk factor for cutaneous melanoma. JAMA 277: 1439–1444

    Article  CAS  Google Scholar 

  • Vinceti M, Bergomi M, Borciani N, Serra L and Vivoli G (1999) Rising melanoma incidence in an Italian community from 1986 to 1997. Melanoma Res 9: 97–103

    Article  CAS  Google Scholar 

  • Zanetti R, Rosso S, Colonna S, Martina G and Paudice A (1988) Studio caso-controllo sul melanoma maligno cutaneo in provincia di Torino [Case-control study on malignant skin melanoma in the Turin province]. G Ital Dermatol Venereol 123: 461–468

    CAS  PubMed  Google Scholar 

  • Zanetti R, Gafa L, Franceschi S, Pippione M and Rosso S (1999) Estimate of the proportion of skin tumors attributable to sun exposure in 3 Italian populations. Epidemiol Prev 23: 416–422

    CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Cancer Epidemiology and Genetics, Genetic Epidemiology Branch, National Cancer Institute, 6120 Executive Blvd, Bethesda, 20892-7236, MD, USA

    M T Landi, A Baccarelli & M A Tucker

  2. EPOCA, Epidemiology Research Center, University of Milan, Via S. Barnaba 8, Milano, 20122, Italy

    A Baccarelli & A Pesatori

  3. Dermatology Unit, Bufalini Hospital, Viale Ghirotti 286, Cesena, 47023, Italy

    D Calista & G Landi

  4. Division of Cancer Epidemiology and Genetics, Biostatistics Branch, National Cancer Institute, 6120 Executive Blvd, Bethesda, 20892-7236, MD, USA

    T Fears

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From twelve months after its original publication, this work is licensed under the Creative Commons Attribution-NonCommercial-Share Alike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/

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Landi, M., Baccarelli, A., Calista, D. et al. Combined risk factors for melanoma in a Mediterranean population. Br J Cancer 85, 1304–1310 (2001). https://doi.org/10.1054/bjoc.2001.2029

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  • Received: 02 May 2001

  • Revised: 19 June 2001

  • Accepted: 21 June 2001

  • Published: 30 October 2001

  • Issue date: 02 November 2001

  • DOI: https://doi.org/10.1054/bjoc.2001.2029

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Keywords

  • melanoma
  • dysplastic nevi
  • Mediterranean populations
  • pigmentation
  • melanoma thickness
  • risk factors

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