Hábitos de fotoprotección y factores de riesgo asociados al cáncer cutáneo en los pacientes trasplantados renales

• Maria Arteaga-Henriquez ^[1] ; Judit Algarra-Sahuquillo ^[2] ; Luisa Santos-e-Silva-Caldeira-Marques ^[2] ; Marta Garcia-Bustinduy ^[1]
  1. [1] Universidad de La Laguna

     Universidad de La Laguna

     San Cristóbal de La Laguna, España

     
  2. [2] Servicio de Dermatología, Complejo Hospitalario Universitario de Canarias, Tenerife, España
• Localización: Piel: Formación continua en dermatología, ISSN 0213-9251, Vol. 38, Nº. 2 (Febrero), 2023, págs. 89-96
• Idioma: español
• DOI: 10.1016/j.piel.2022.08.007
• Títulos paralelos:
  • Photoprotection habits and risk factors associated with skin cancer in kidney transplant patients
• Enlaces
  • Texto Completo Ejemplar
• Resumen
  • español

    Antecedentes: el cáncer cutáneo no melanoma y, particularmente, el carcinoma epidermoide, representa un problema cada vez más prevalente en la población trasplantada de órgano sólido. Comparado con la población en general, el cáncer cutáneo no melanoma es hasta 65-250 veces más frecuente en la población trasplantada. El objetivo de este estudio fue caracterizar a la población de pacientes trasplantados renales en cuanto a sus factores de riesgo asociados al cáncer cutáneo, evaluando principalmente, el nivel de exposición solar y la realización de fotoprotección regular.

    Material y métodos: se realizó un estudio descriptivo, transversal y retrospectivo, de los pacientes vivos a los que se les realizó un trasplante renal y estuvieron en seguimiento en un hospital de tercer nivel.

    Resultados: 261 pacientes participaron en el estudio. El 70,1% eran hombres y 29,9% eran mujeres. El 98,5% eran caucásicos y el fototipo más frecuente fue el III (53,6%). El 56,7% de los pacientes refería una exposición solar frecuente, el 44,1% recordaba quemaduras en la infancia, el 49,8% reconocía no hacer una fotoprotección regular a diario y el 50,2% era o había sido fumador en algún momento de su vida.

    Conclusiones: nuestra población de pacientes trasplantados renales acumula distintos factores de riesgo para el desarrollo de cáncer cutáneo. Incluso en las áreas con alta radiación ultravioleta, la adherencia a la fotoprotección sigue pareciendo escasa.

  • English

    Background: Non-melanoma skin cancer, and particularly squamous cell carcinoma, represents an increasingly prevalent problem in the solid organ transplant population.

    Compared with the general population, non-melanoma skin cancer is up to 65-250 times more frequent in the transplant population. The aim of this study was to characterize the population of kidney transplant patients in terms of their risk factors associated with skin cancer, mainly evaluating sun exposure and regular photoprotection.

    Material and methods: A descriptive, cross-sectional and retrospective study of patients undergoing renal transplantation and followed up by a tertiary care hospital was carried out.

    Results: 261 patients participated in the study. 70.1% were men and 29.9% were women.

    98.5% were Caucasian and the most frequent phototype was III (53.6%). 56.7% of the patients reported frequent sun exposure, 44.1% recalled burns in childhood, 49.8% admitted not doing regular daily photoprotection, and 50.2% were or had been smokers at some moment of his life.

    Conclusions: Our population of kidney transplant patients carries different risk factors for the development of skin cancer. Even in areas with high UV radiation, adherence to sunscreen still appears poor

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