NDLI: A case-control study of melanomas of the soles and palms (Australia and Scotland)

Content Provider	Springer Nature Link
Author	Green, Adele McCredie, Margaret MacKie, Rona Giles, Graham Young, Peta Morton, Colin Jackman, Lea Thursfield, Vicky
Copyright Year	1999
Abstract	Objectives: Because the factors that influence risk of acral melanomas on the soles and palms in White populations are unknown, we investigated these in a multi-center case-control study.Methods: Cases of melanoma of the feet and hands diagnosed from 1987–93 in persons aged over 18 years were ascertained in eastern Australia and western Scotland. There were 275 cases of melanoma on the soles and palms matched to 496 controls (selected from the electoral roll) in Australia, and 36 cases matched to 72 controls (nominated by general practitioners) in Scotland.Results: Acral melanoma was strongly associated with high total body nevus counts (adjusted relative risk [RR]=6.3, 95% confidence interval [CI]=2.5–15.6), and with nevi on the soles (RR=7.5, CI=3.0–18.6). There were also significant positive associations with a penetrative injury of the feet or hands (RR=5.0, CI=3.0–8.6) and with heavy exposure to agricultural chemicals (RR=3.6, CI=1.5–8.3). Sun-sensitive complexions, cumulative sun exposure and a past history of nonmelanoma skin cancer were also associated with increased risk of acral melanoma. Current cigarette smoking was inversely related to acral melanoma (RR=0.6, CI=0.4–0.9).Conclusions: Melanomas of the soles and palms resemble other cutaneous melanomas in their association with sun exposure, but are distinguished from them by their strong positive associations with nevi on the soles, previous penetrative injury, and exposure to agricultural chemicals, and by their inverse association with smoking.
Starting Page	21
Ending Page	25
Page Count	5
File Format	PDF
ISSN	09575243
Journal	Cancer Causes & Control
Volume Number	10
Issue Number	1
e-ISSN	15737225
Language	English
Publisher	Kluwer Academic Publishers
Publisher Date	1999-01-01
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Public Health/Gesundheitswesen Hematology Oncology Epidemiology
Content Type	Text
Resource Type	Article
Subject	Cancer Research Oncology

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