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A risk factor is anything that affects a person's chance of
getting a disease such as cancer. Different cancers have different risk
factors. Some risk factors, like smoking, can be controlled. Others,
like a person's age or family history, can't be changed.
But risk factors don't tell us everything. Having a risk
factor, or even several risk factors, does not mean that you will get
the disease. And many people who get the disease may not have had any
known risk factors. Even if a person with basal or squamous cell skin
cancer has a risk factor, it is often very hard to know what part that
risk factor may have played in getting the cancer.
The following are risk factors for basal and squamous cell
skin cancer:
Ultraviolet (UV) light
Sunlight is the main source of ultraviolet (UV) radiation,
which can damage the genes in your skin cells. UV light is thought to
be the major risk factor for most skin cancers. Tanning lamps and
booths are another source of UV radiation. People with too much
exposure to UV light are at greater risk for skin cancer.
The amount of UV exposure depends on the strength of the
light, how long the skin was exposed, and whether the skin was covered
with clothing and sunscreen. Many studies show that being exposed at a
young age is an added risk factor.
People who live in places with year-round, bright sunlight
have a higher risk. For example, the risk of skin cancer is twice as
high in Arizona compared to Minnesota. The highest rate of skin cancer
in the world is in Australia. Spending a lot of time outdoors without
wearing enough clothing and sunscreen increases your risk.
Fair skin
The risk of skin cancer is much higher for whites than for
dark-skinned African Americans. This is because melanin helps protect
against UV radiation. People with dark skin have more melanin. People
with fair (light-colored) skin that freckles or burns easily are at
extra high risk.
Older age
The risk of basal and squamous cell skin cancers goes up as
people get older. Older people have been exposed to the sun for a
longer period of time. Still, these cancers are now being seen in
younger people too, probably because they are spending more time in the
sun with their skin exposed.
Men
Men are 2 times as likely as women to have basal cell cancers
and 3 times as likely to have squamous cell cancers of the skin. This
could be because they spend more time in the sun.
Chemicals
Exposure to large amounts of arsenic, a heavy metal used to
make some insecticides, increases the risk of skin cancer. Workers
exposed to industrial tar, coal, paraffin, and certain types of oil may
also have an increased risk.
Radiation
People who have had radiation treatment have a higher risk of
getting skin cancer in the area that was treated. This can be a problem
for children who have had cancer treatment. Almost all of these cancers
are basal cell.
Having had a skin cancer
Anyone who has had one skin cancer has a much higher chance of
having another one.
Certain long-term or severe skin problems
Scars from severe burns, areas of skin over severe bone
infections, and skin damaged by certain skin diseases are more likely
to develop skin cancer, but this risk is fairly small.
Treatment of psoriasis
Some patients with psoriasis (a long-lasting inflammatory skin
disease) are treated with psoralen and ultraviolet light treatments
(PUVA). This can increase their risk of getting squamous cell skin
cancer, and maybe other skin cancers, too.
Skin disease
A very rare disease called xeroderma pigmentosum makes the
skin less able to repair sun damage. This disease tends to run in
families. People with this disease get many skin cancers, sometimes
starting in childhood.
Basal cell nevus syndrome
This rare condition is present at birth. It causes some people
to have many basal cell cancers. It often runs in families.
Weakened immune system
People with weakened immune systems are more likely to develop
non-melanoma skin cancer. For example, people who have had an organ
transplant often take medicines to weaken the immune system in order to
keep the body from rejecting the organ. These people are more likely to
develop non-melanoma skin cancer. Skin cancers in people with weakened
immune systems grow much faster and are more likely to be fatal.
HPV infection
A small number of skin cancers seem to be linked to infection
with human papilloma virus (HPV). This group of viruses can cause
warts. The warts are different from the common type of warts that
people get on their hands and feet. The HPV-related warts are often in
the genital area and around the anus. They are linked to skin cancers
in these areas.
Smoking
Smoking is a risk factor for squamous cell skin cancer but not
for basal cell cancer.
Genetics
Scientists have found that certain people are more likely than
others to develop skin cancer after sun exposure. In these people, the
parts of the normal cells are more sensitive to being damaged by
sunlight.
Last Revised: 07/30/2008
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