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Koumaki D, Evangelou G, Gregoriou S, Kouloumvakou S, Manios A, Katoulis A, Zacharopoulos GV, Chernyshov PV, Papadakis M, Kassotakis D, Manios GA, Rovithi E, Zografaki K, Doxastaki A, Gkiaouraki I, Petrou D, Marazaki F, Mylonakis D, de Bree E, Krasagakis K. Skin Cancer Knowledge, Sun Exposure, Photoprotection Behavior, and Perceived Barriers Associated with Skin Cancer Types in a Greek Cohort: A Cross-Sectional Study on the Island of Crete. Cancers (Basel) 2024; 16:4226. [PMID: 39766125 PMCID: PMC11726760 DOI: 10.3390/cancers16244226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2024] [Revised: 12/10/2024] [Accepted: 12/17/2024] [Indexed: 01/15/2025] Open
Abstract
BACKGORUND This study aimed to explore the relationship between different types of skin cancer and factors such as sun exposure and photoprotection measures in a Greek cohort on the island of Crete. METHODS This cross-sectional observational study was conducted in the Dermatology Department of the University Hospital in Heraklion, Crete, between January 2019 and January 2024. The study population included consecutive patients diagnosed with basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and malignant melanoma (MM), as well as healthy controls. The participants completed a self-reported questionnaire covering demographic and clinical data as well as questions about sun exposure and photoprotection habits. RESULTS A total of 265 skin cancer patients and 106 healthy controls participated in the study: 50.6% of the patients had basal cell carcinoma, 35.1% had squamous cell carcinoma, and 14.3% had malignant melanoma. The cohort comprised 41.5% females and 58.5% males, with a mean age of 73.2 years. As expected, the patients with skin cancer had a lighter skin phototype compared to the healthy controls (p < 0.01). They also reported greater occupational (p < 0.01) and leisure sun exposure (p < 0.01) and a higher median number of vacation weeks spent outdoors before the age of 18 (p = 0.030). Furthermore, the healthy controls were more likely to use sunscreen (p = 0.035) and preferred higher SPF (>50) when they did so (p < 0.01). The healthy controls also reported more frequent use of sunglasses (p < 0.01), brimmed hats (p < 0.01), and long-sleeved clothing (p < 0.01) compared to the skin cancer patients. CONCLUSION This is the first study to analyze sun exposure and photoprotection behaviors in patients with nonmelanoma skin cancer (NMSC) and malignant melanoma (MM) in Crete, revealing the key associations and underscoring the need for targeted prevention strategies.
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Affiliation(s)
- Dimitra Koumaki
- Dermatology Department, University Hospital of Heraklion, 71110 Heraklion, Greece; (G.E.); (E.R.); (K.Z.); (A.D.); (I.G.); (D.P.); (F.M.); (D.M.); (K.K.)
| | - Georgios Evangelou
- Dermatology Department, University Hospital of Heraklion, 71110 Heraklion, Greece; (G.E.); (E.R.); (K.Z.); (A.D.); (I.G.); (D.P.); (F.M.); (D.M.); (K.K.)
| | - Stamatios Gregoriou
- 1st Department of Dermatology and Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Medical School of Athens, I. Dragoumi 5, 16121 Athens, Greece;
| | - Stamatoula Kouloumvakou
- 2nd Department of Internal Medicine, Sismanoglio General Hospital, Sismanogliou 37, 15126 Marousi, Greece;
| | - Andreas Manios
- Plastic Surgery Unit, Department of Surgical Oncology, University Hospital of Heraklion, 71110 Heraklion, Greece; (A.M.); (G.V.Z.); (D.K.)
| | - Alexander Katoulis
- 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, “Attikon” General University Hospital, Rimini 1, 12462 Haidari, Greece;
| | - Georgios Vasileiou Zacharopoulos
- Plastic Surgery Unit, Department of Surgical Oncology, University Hospital of Heraklion, 71110 Heraklion, Greece; (A.M.); (G.V.Z.); (D.K.)
| | | | - Marios Papadakis
- Department of Surgery, Helios Clinic, University Hospital Witten-Herdecke, Heusnerstr 40, 42283 Wuppertal, Germany;
| | - Dimitrios Kassotakis
- Plastic Surgery Unit, Department of Surgical Oncology, University Hospital of Heraklion, 71110 Heraklion, Greece; (A.M.); (G.V.Z.); (D.K.)
| | - Georgios A. Manios
- Department of Computer Science and Biomedical Informatics, University of Thessaly, 35131 Lamia, Greece;
| | - Evangelia Rovithi
- Dermatology Department, University Hospital of Heraklion, 71110 Heraklion, Greece; (G.E.); (E.R.); (K.Z.); (A.D.); (I.G.); (D.P.); (F.M.); (D.M.); (K.K.)
| | - Kyriaki Zografaki
- Dermatology Department, University Hospital of Heraklion, 71110 Heraklion, Greece; (G.E.); (E.R.); (K.Z.); (A.D.); (I.G.); (D.P.); (F.M.); (D.M.); (K.K.)
| | - Aikaterini Doxastaki
- Dermatology Department, University Hospital of Heraklion, 71110 Heraklion, Greece; (G.E.); (E.R.); (K.Z.); (A.D.); (I.G.); (D.P.); (F.M.); (D.M.); (K.K.)
| | - Ioanna Gkiaouraki
- Dermatology Department, University Hospital of Heraklion, 71110 Heraklion, Greece; (G.E.); (E.R.); (K.Z.); (A.D.); (I.G.); (D.P.); (F.M.); (D.M.); (K.K.)
| | - Danae Petrou
- Dermatology Department, University Hospital of Heraklion, 71110 Heraklion, Greece; (G.E.); (E.R.); (K.Z.); (A.D.); (I.G.); (D.P.); (F.M.); (D.M.); (K.K.)
| | - Faidra Marazaki
- Dermatology Department, University Hospital of Heraklion, 71110 Heraklion, Greece; (G.E.); (E.R.); (K.Z.); (A.D.); (I.G.); (D.P.); (F.M.); (D.M.); (K.K.)
| | - Dimitrios Mylonakis
- Dermatology Department, University Hospital of Heraklion, 71110 Heraklion, Greece; (G.E.); (E.R.); (K.Z.); (A.D.); (I.G.); (D.P.); (F.M.); (D.M.); (K.K.)
| | - Eelco de Bree
- Department of Surgical Oncology, University Hospital of Heraklion, 71110 Heraklion, Greece;
| | - Konstantinos Krasagakis
- Dermatology Department, University Hospital of Heraklion, 71110 Heraklion, Greece; (G.E.); (E.R.); (K.Z.); (A.D.); (I.G.); (D.P.); (F.M.); (D.M.); (K.K.)
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Kang HY. Phototherapy for pigmentary disorders. PHOTODERMATOLOGY, PHOTOIMMUNOLOGY & PHOTOMEDICINE 2024; 40:e12963. [PMID: 38616359 DOI: 10.1111/phpp.12963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Accepted: 03/20/2024] [Indexed: 04/16/2024]
Affiliation(s)
- Hee Young Kang
- Department of Dermatology, Ajou University School of Medicine, Suwon-si, Gyeonggi-do, South Korea
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