COMMON RISK FACTORS OF CUTANEOUS MALIGNANCY - A HOSPITAL BASED STUDY AT A TERTIARY REFERRAL HOSPITAL

Dr. Chayanika Kalita; Dr. Lohit Kumar Kalita; Dr. Umesh Ch. Sarma

Volume : VII, Issue : IV, April - 2018

COMMON RISK FACTORS OF CUTANEOUS MALIGNANCY - A HOSPITAL BASED STUDY AT A TERTIARY REFERRAL HOSPITAL

Dr. Chayanika Kalita, Dr. Lohit Kumar Kalita, Dr. Umesh Ch. Sarma

Abstract :

Background:The incidence of skin cancer has been increasing dramatically during the past two decades. Over the past three decades, more people have had skin cancer than all other cancers combined.Studies demonstrates association of cutaneous malignancy with different common intoxicants like alcohol, tobacco/smoking and betel nuts etc. But to our knowledge no such studies in the North–East region of India has been carried out.

Methods:This study was conducted at Gauhati Medical College & Hospital, Guwahati, Assam. It is a hospital based cross–sectional descriptive study; atotal 150 numbers of newly diagnosed cases of cutaneous malignancy were procured from the Out Patient Department of Dermatology & STD of the institute over a period of 3 years.

Results :(1) Frequent exposure to sunlight/UV light were 81 (54%) SCC , 8 (5.33%) BCC, 8 (5.33%) malignant melanoma and 11 (7.33%) other cutaneous malignancy patients. History of occasional exposure to sunlight/UV light were 30 (20%) SCC, 3(2%) BCC , 4 (2.67%) malignant melanoma and 3 (3.33%) other cutaneous malignancy patients. (2) Frequent exposure to chronic ionizing radiation were 18 (12%) SCC patients, 3 (2%) BCC patients, 4 (2.67%) malignant melanoma and 2 (1.33%) other cutaneous malignancy patients. Moreover, 34 (22.67%) SCC patients, 2(1.33%) BCC patients, 3 (2%) malignant melanoma patients and 5 (3.33%) other cutaneous malignancy patients had history of occasional exposure to chronic ionizing radiation. (3) In the present study 32 (21.33%) SCC, 2 (1.33%) BCC , 2 (1.33%) malignant melanomaand 4 (2.67%) other cutaneous malignancy patients had history of smoking . Moreover, 21 (14%) SCC patients, 3 (2%) BCC patients, 1 (0.67%) malignant melanoma patients and 2 (1.33%) other cutaneous malignancy patients had history of smoking occasionally. (4) In the present study associated diseases were osteoarthritis 42(28%) patients, hypertension in 23(15.33%) , chronic prolapsed intravereal disc in 15(10%), diabetes in 19 (12.67%) , hypothyroidism in 15( 10%), chronic obstructive pulmonary disease in 8(5.33%) , eczema in 7(4.67%) patients, gout in 5(3.33%), chronic liver disease in 4(2.67%) , haemorrhoids in 3 (2%) , haemoglobinopathy in 3(2%), tuberculosis in (0.67%) , varicose veins in 1(0.67%) and other minor diseases in 4 (2.67%) patients.