1. Non-Melanoma Skin Cancer in Outdoor Workers: A Study on Actinic Keratosis in Italian Navy Personnel
- Author
-
Vimercati, L, De Maria, L, Caputi, A, Sabrina, E, Cannone, S, Mansi, F, Cavone, D, Romita, P, Argenziano, G, Di Stefani, A, Parodi, A, Peris, K, Scalvenzi, M, Girolomoni, G, Foti, C, Vimercati, L., De Maria, L., Caputi, A., Cannone, E. S. S., Mansi, F., Cavone, D., Romita, P., Argenziano, G., Di Stefani, A., Parodi, A., Peris, K., Scalvenzi, M., Girolomoni, G., and Foti, C.
- Subjects
actinic keratosi ,Adult ,Male ,medicine.medical_specialty ,Skin Neoplasms ,Actinic ,Navy Personnel ,Ultraviolet Rays ,ultraviolet exposure ,non-melanoma skin cancer ,actinic keratosis ,Italian Navy ,Health, Toxicology and Mutagenesis ,Outdoor workers ,lcsh:Medicine ,Article ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Working life ,Actinic keratosis ,Italian navy ,Non-melanoma skin cancer ,Ultraviolet exposure ,business.industry ,lcsh:R ,Public Health, Environmental and Occupational Health ,Keratosis ,Middle Aged ,medicine.disease ,Dermatology ,Keratosis, Actinic ,Navy ,Military personnel ,Military Personnel ,Italy ,030220 oncology & carcinogenesis ,Female ,Skin cancer ,business ,Settore MED/35 - MALATTIE CUTANEE E VENEREE ,Non melanoma - Abstract
Occupational exposure to ultraviolet radiation is one of the main risk factors for non-melanoma skin cancer (NMSC) development. The most common variants of NMSC are basal cell carcinomas, squamous cell carcinomas, and actinic keratosis (AK). The latter is nowadays considered by most authors as an early squamous cell carcinoma rather than a precancerous lesion. Outdoor workers have a higher risk of developing NMSC because they spend most of the working day outside. The aim of this descriptive study was to assess the prevalence of skin lesions, especially AK, in a professional category of individuals exposed to ultraviolet (UV) radiation: the Italian Navy. From January to June 2016, a questionnaire and a total skin examination of 921 military personnel were administered by medical specialists (dermatologists) in seven different Italian Navy centres. AK was detected in 217 of 921 (23.5%) workers. Older age, outdoor occupation, longer working life, and fair skin seem to promote the development of AK. Of the 217 workers with AK, 187 (86.2%) had lesions in chronically sun-exposed skin areas. Italian Navy personnel have a high AK prevalence. Further studies are needed to investigate occupational hazards and their health effects among outdoor workers to promote protective behaviour and raise awareness of skin cancer.
- Published
- 2020