Author/Editor		Benedičič-Pilih, Ana; Bartenjev, Igor
Title		Epidemiologija, etiopatogenetski vplivi in možnosti preprečevanja malignih tumorjev kože
Translated title		Epidemiology, ethiopathogenetic influences and possibilities of prevention of malignant skin tumors
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 68, št. Suppl 2
Publication year		1999
Volume		str. II-25-8
Language		slo
Abstract		Background. The incidence of malignant skin tumors is increasing in the world as well as in our country. With raised incidence of cutaneous malignant melanoma also the increased mortality is connected. So the malignant skin tumors have gone into the group of the malignancy with considerable health importance. In tjis article the current epidemiological state of cutaneous malignant melanoma and of leading nonmelanoma skin cancers - basal cell carcinoma and squamous cell carcinoma - is presented. Beside of this we introduce the results of some newer research of actual questions of ethiopathogenetic influences on malignant skin tumors and we discuss about prevention possibilities. Conclusions. There are successes of seconadry prevention in some places of the world expressing with the reduction of mortality because of the cutaneous malignant melanoma. Decades of research have increased the understanding of the epidemiology, risk factors and ethiopathogenetic influences to development of malignant skin tumors and stimulated efforts to promote theirs prevention. Long-term preventive approach is based on the assumption that exposure to sunlight is the major changeable risk factor for all skin cancers. A primary prevention program, with the aim of a reduction in the incidence of malignant skin tumors, attempts to change population knowledge, attitudes and beliefs about sunlight, leading to changes in behavior with reducing sunlight exposure.
Summary		Izhodišča. Incidenca malignih tumorjev kože narašča v svetu in pri nas. Z zvišano incidenco malignega melanoma kože je povezano tudi povečanje umrljivosti. Maligni tumorji kože so tako prešli v skupino tistih novotvorb, ki imajo precejšen medicinski pomen. V prispevku je predstavljeno sedanje epidemiološko stanje malignega melanoma kože in vodilnih dveh zvrsti nemelanomskega raka kože - ploščatoceličnega in bazalnoceličnega karcinoma kože. Poleg tega navajava ugotovitve novejših raziskav glede aktualnih vprašanj etiopatogenetskih vplivov na posamezne pogostejše vrste malignih tumorjev kože in razpravljava o pomenu možnostih preventivnih ukrepov. Zaključki. Uspehi sekundarne preventive se ponekod v svetu že kažejo v znižanju umrljivosti zaradi malignega melanoma kože. Desetletja raziskav so razširila razumevanje epidemiologije, dejavnikov tveganja in etiopatogenetskih vplivov na razvoj malignih tumorjev kože in spodbudila prizadevanja za uveljavitev njihove preventive. Dolgoročni preventivni pristop temelji na podpostavki, da je izpostavljanje sončni svetlobi glavni spremenljivi dejavnik tveganja za vse vrste kožnega raka. Primarni preventivni program, ki ima cilj znižanja incidence malignih tumorjev kože, skuša spremeniti znanje, stališča in prepričanja ljudi o sončni svetlobi, da bi spremenili vedenje in zmanjšali izpostavljanje sončni svetlobi.
Descriptors		SKIN NEOPLASMS MELANOMA CARCINOMA, BASAL CELL CARCINOMA, SQUAMOUS CELL INCIDENCE