| Prevalence of Basal Cell Carcinoma in Aruba: A 15-Year Retrospective Study (2008–2023) |
| Paper ID : 1168-IGA |
| Authors |
|
Nuris Lampe * Dermatoloog Kliniek Dr N.M.Lampe |
| Abstract |
| Background and Aim: Basal Cell Carcinoma (BCC), the most common skin cancer, is influenced by factors like ultraviolet (UV) radiation. Aruba, a Caribbean island near the Equator at approximately 12.5 degrees North latitude, experiences intense year-round UV radiation with UV Index levels often exceeding 11. Its ethnically diverse population, especially individuals with lighter skin phototypes, may have increased susceptibility to UV-induced damage. This study investigates BCC prevalence in Aruba, focusing on age, gender distribution, and treatment outcomes among patients at a dermatology clinic from 2008 to 2023. Methods: This retrospective study reviewed medical records of 24,443 patients from 2008 to 2023, identifying 1,051 BCC cases. Data were categorized by age groups (under 40, 40–60, over 60 years) and gender. Treatment modalities and patient histories were analyzed. Statistical calculations determined prevalence rates. Results: BCC prevalence was 4.30%. Among 1,051 cases, 572 (54.4%) were female and 479 (45.6%) male. BCC predominantly occurred in older patients: 95 cases (9.0%) under 40, 289 (27.5%) between 40–60, and 667 (63.5%) over 60 years. The median age was 66.0 years (67.0 for males and 66.0 for females). Prevalence increased with age: 0.2% under 40, 0.7% in 40–60, and 3.4% over 60 years. Most cases were early-stage and effectively treated surgically. No advanced tumors were reported. Follow-up ensured positive outcomes. Conclusion: Aruba's intense UV radiation significantly contributes to BCC risk. The study found a strong association between BCC prevalence and advancing age, with most cases in patients over 60. Early detection and surgical treatment led to favorable outcomes. These findings highlight the importance of public awareness, regular skin examinations, and UV protection, particularly for high-risk groups. Implementing skin cancer screening and promoting UV protection could enhance early detection and treatment success. Future multi-center research would confirm these findings and inform public health strategies. |
| Keywords |
| Basal Cell Carcinoma (BCC), Prevalence, UV Radiation, Epidemiology |
| Status: Accepted |
