Cutaneous Appendageal Carcinoma Incidence and Survival Patterns in the United States: A Population-Based Study

OBJECTIVE To examine incidence patterns of patients diagnosed as having cutaneous appendageal carcinoma (CAC). DESIGN Population-based study using the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute data from 1978 through 2005. PARTICIPANTS A total of 1801...

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Veröffentlicht in:Archives of dermatology (1960) 2010-06, Vol.146 (6), p.625-632
Hauptverfasser: Blake, Patrick W, Bradford, Porcia T, Devesa, Susan S, Toro, Jorge R
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container_title Archives of dermatology (1960)
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creator Blake, Patrick W
Bradford, Porcia T
Devesa, Susan S
Toro, Jorge R
description OBJECTIVE To examine incidence patterns of patients diagnosed as having cutaneous appendageal carcinoma (CAC). DESIGN Population-based study using the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute data from 1978 through 2005. PARTICIPANTS A total of 1801 subjects from SEER 16 registries (2001-2005) for incidence analyses, 2228 from SEER 9 registries (1987-2005) for trend analysis, and 1984 subjects (1992-2004) for survival analysis. MAIN OUTCOME MEASURE Incidence rates (IRs) per 1 million person-years according to anatomic site, race, sex, age, and histologic type. RESULTS Cutaneous appendageal carcinomas are uncommon (age-adjusted IR, 5.1 per 1 million person-years), with the IR among men statistically significantly higher than women (6.3 vs 4.2, respectively; male to female IR ratio 1.51; P 
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DESIGN Population-based study using the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute data from 1978 through 2005. PARTICIPANTS A total of 1801 subjects from SEER 16 registries (2001-2005) for incidence analyses, 2228 from SEER 9 registries (1987-2005) for trend analysis, and 1984 subjects (1992-2004) for survival analysis. MAIN OUTCOME MEASURE Incidence rates (IRs) per 1 million person-years according to anatomic site, race, sex, age, and histologic type. RESULTS Cutaneous appendageal carcinomas are uncommon (age-adjusted IR, 5.1 per 1 million person-years), with the IR among men statistically significantly higher than women (6.3 vs 4.2, respectively; male to female IR ratio 1.51; P &lt; .001). Hispanic whites (IR, 3.7), blacks (IR, 3.5), and Asian/Pacific Islanders (IR, 2.5) all had significantly lower IRs than non-Hispanic whites (IR, 5.7) (P &lt; .001). Apocrine-eccrine carcinoma overall was the most common category (IR, 2.6), and the IR was highest among non-Hispanic white (IR, 2.8) compared with other ethnic/racial groups (P &lt; .001). Cutaneous appendageal carcinomas IRs rose 100-fold with age, from 0.37 among those aged 20 to 29 years to 37.3 among those 80 years or older. From 1978-1982 to 2002-2005, the CAC IRs increased 150%, from 2.0 to 5.0; the apocrine-eccrine carcinoma and the sebaceous carcinoma IRs rose 170%, from 1.0 to 2.7, and 217%, from 0.6 to 1.9, respectively. Five-year relative survival rates overall were 99% for localized and 43% for distant disease. CONCLUSIONS Cutaneous appendageal carcinomas are rare tumors with IRs that vary by sex and racial/ethnic group. Cutaneous appendageal carcinoma IRs are increasing in the United States, especially for sebaceous carcinoma, perhaps related to improved recognition and classification, but factors such as UV exposure and immunosuppression may also play a role.Arch Dermatol. 2010;146(6):625-632 --&gt;</description><identifier>ISSN: 0003-987X</identifier><identifier>ISSN: 2168-6068</identifier><identifier>EISSN: 1538-3652</identifier><identifier>EISSN: 2168-6084</identifier><identifier>DOI: 10.1001/archdermatol.2010.105</identifier><identifier>PMID: 20566926</identifier><identifier>CODEN: ARDEAC</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Carcinoma, Skin Appendage - epidemiology ; Carcinoma, Skin Appendage - pathology ; Demographics ; Dermatology ; Epidemiology ; Female ; General aspects ; Humans ; Incidence ; Male ; Medical sciences ; Middle Aged ; Population Surveillance - methods ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Retrospective Studies ; SEER Program ; Sex Distribution ; Skin cancer ; Skin Neoplasms - epidemiology ; Skin Neoplasms - pathology ; Survival analysis ; Survival Rate - trends ; Tumors ; United States - epidemiology ; White people ; Young Adult</subject><ispartof>Archives of dermatology (1960), 2010-06, Vol.146 (6), p.625-632</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright American Medical Association Jun 2010</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jamadermatology/articlepdf/10.1001/archdermatol.2010.105$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jamadermatology/fullarticle/10.1001/archdermatol.2010.105$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,315,782,786,3344,27933,27934,76499,76502</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22884147$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20566926$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blake, Patrick W</creatorcontrib><creatorcontrib>Bradford, Porcia T</creatorcontrib><creatorcontrib>Devesa, Susan S</creatorcontrib><creatorcontrib>Toro, Jorge R</creatorcontrib><title>Cutaneous Appendageal Carcinoma Incidence and Survival Patterns in the United States: A Population-Based Study</title><title>Archives of dermatology (1960)</title><addtitle>Arch Dermatol</addtitle><description>OBJECTIVE To examine incidence patterns of patients diagnosed as having cutaneous appendageal carcinoma (CAC). DESIGN Population-based study using the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute data from 1978 through 2005. PARTICIPANTS A total of 1801 subjects from SEER 16 registries (2001-2005) for incidence analyses, 2228 from SEER 9 registries (1987-2005) for trend analysis, and 1984 subjects (1992-2004) for survival analysis. MAIN OUTCOME MEASURE Incidence rates (IRs) per 1 million person-years according to anatomic site, race, sex, age, and histologic type. RESULTS Cutaneous appendageal carcinomas are uncommon (age-adjusted IR, 5.1 per 1 million person-years), with the IR among men statistically significantly higher than women (6.3 vs 4.2, respectively; male to female IR ratio 1.51; P &lt; .001). Hispanic whites (IR, 3.7), blacks (IR, 3.5), and Asian/Pacific Islanders (IR, 2.5) all had significantly lower IRs than non-Hispanic whites (IR, 5.7) (P &lt; .001). Apocrine-eccrine carcinoma overall was the most common category (IR, 2.6), and the IR was highest among non-Hispanic white (IR, 2.8) compared with other ethnic/racial groups (P &lt; .001). Cutaneous appendageal carcinomas IRs rose 100-fold with age, from 0.37 among those aged 20 to 29 years to 37.3 among those 80 years or older. From 1978-1982 to 2002-2005, the CAC IRs increased 150%, from 2.0 to 5.0; the apocrine-eccrine carcinoma and the sebaceous carcinoma IRs rose 170%, from 1.0 to 2.7, and 217%, from 0.6 to 1.9, respectively. Five-year relative survival rates overall were 99% for localized and 43% for distant disease. CONCLUSIONS Cutaneous appendageal carcinomas are rare tumors with IRs that vary by sex and racial/ethnic group. 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Hygiene-occupational medicine</subject><subject>Retrospective Studies</subject><subject>SEER Program</subject><subject>Sex Distribution</subject><subject>Skin cancer</subject><subject>Skin Neoplasms - epidemiology</subject><subject>Skin Neoplasms - pathology</subject><subject>Survival analysis</subject><subject>Survival Rate - trends</subject><subject>Tumors</subject><subject>United States - epidemiology</subject><subject>White people</subject><subject>Young Adult</subject><issn>0003-987X</issn><issn>2168-6068</issn><issn>1538-3652</issn><issn>2168-6084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU9P3DAQxS3UqizQD8ChlVUJcQr4T5x4e1tWLUVCKlKL1Fs0ticlKHGC7SDx7fGy21L1ZHne743H8wj5wNkZZ4yfQ7B3DsMAaezPBHspqz2y4ErqQlZKvCELxpgslrr-tU8OYrzPNqG1eEf2BVNVtRTVgvj1nMDjOEe6mib0Dn4j9HSd23d-HIBeeds59BYpeEd_zOGxe8zADaSEwUfaeZrukN76LmHWEySMn-mK3ozT3EPqRl9cQHyRZvd0RN620Ed8vzsPye3XLz_X34rr75dX69V1AVLyVCijJRhlWastY4K7Za2h4qZU4GRllCuNEthanu8GgTsuDBpuamZtu8zMITnd9p3C-DBjTM3QRYt9v_1rU0sp67LSdSY__Ufej3PwebhGCc51WdZlhtQWsmGMMWDbTKEbIDw1nDWbOJp_42g2ceSyyr6Pu-azGdD9df3ZfwZOdgBEC30bIK87vnI5r5KXmymPtxwM8KpuXhbyGWE4oCk</recordid><startdate>20100601</startdate><enddate>20100601</enddate><creator>Blake, Patrick W</creator><creator>Bradford, Porcia T</creator><creator>Devesa, Susan S</creator><creator>Toro, Jorge R</creator><general>American Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20100601</creationdate><title>Cutaneous Appendageal Carcinoma Incidence and Survival Patterns in the United States: A Population-Based Study</title><author>Blake, Patrick W ; Bradford, Porcia T ; Devesa, Susan S ; Toro, Jorge R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a331t-5b83ab5c0f8c0021d978a61b45ad36b5d4b52efc15adbea1d12beb1b70ccf9ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Skin Appendage - epidemiology</topic><topic>Carcinoma, Skin Appendage - pathology</topic><topic>Demographics</topic><topic>Dermatology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Population Surveillance - methods</topic><topic>Public health. Hygiene</topic><topic>Public health. 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DESIGN Population-based study using the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute data from 1978 through 2005. PARTICIPANTS A total of 1801 subjects from SEER 16 registries (2001-2005) for incidence analyses, 2228 from SEER 9 registries (1987-2005) for trend analysis, and 1984 subjects (1992-2004) for survival analysis. MAIN OUTCOME MEASURE Incidence rates (IRs) per 1 million person-years according to anatomic site, race, sex, age, and histologic type. RESULTS Cutaneous appendageal carcinomas are uncommon (age-adjusted IR, 5.1 per 1 million person-years), with the IR among men statistically significantly higher than women (6.3 vs 4.2, respectively; male to female IR ratio 1.51; P &lt; .001). Hispanic whites (IR, 3.7), blacks (IR, 3.5), and Asian/Pacific Islanders (IR, 2.5) all had significantly lower IRs than non-Hispanic whites (IR, 5.7) (P &lt; .001). Apocrine-eccrine carcinoma overall was the most common category (IR, 2.6), and the IR was highest among non-Hispanic white (IR, 2.8) compared with other ethnic/racial groups (P &lt; .001). Cutaneous appendageal carcinomas IRs rose 100-fold with age, from 0.37 among those aged 20 to 29 years to 37.3 among those 80 years or older. From 1978-1982 to 2002-2005, the CAC IRs increased 150%, from 2.0 to 5.0; the apocrine-eccrine carcinoma and the sebaceous carcinoma IRs rose 170%, from 1.0 to 2.7, and 217%, from 0.6 to 1.9, respectively. Five-year relative survival rates overall were 99% for localized and 43% for distant disease. CONCLUSIONS Cutaneous appendageal carcinomas are rare tumors with IRs that vary by sex and racial/ethnic group. Cutaneous appendageal carcinoma IRs are increasing in the United States, especially for sebaceous carcinoma, perhaps related to improved recognition and classification, but factors such as UV exposure and immunosuppression may also play a role.Arch Dermatol. 2010;146(6):625-632 --&gt;</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>20566926</pmid><doi>10.1001/archdermatol.2010.105</doi><tpages>8</tpages></addata></record>
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subjects Adult
Age Distribution
Aged
Aged, 80 and over
Biological and medical sciences
Carcinoma, Skin Appendage - epidemiology
Carcinoma, Skin Appendage - pathology
Demographics
Dermatology
Epidemiology
Female
General aspects
Humans
Incidence
Male
Medical sciences
Middle Aged
Population Surveillance - methods
Public health. Hygiene
Public health. Hygiene-occupational medicine
Retrospective Studies
SEER Program
Sex Distribution
Skin cancer
Skin Neoplasms - epidemiology
Skin Neoplasms - pathology
Survival analysis
Survival Rate - trends
Tumors
United States - epidemiology
White people
Young Adult
title Cutaneous Appendageal Carcinoma Incidence and Survival Patterns in the United States: A Population-Based Study
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