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Dermatology. 2008;216(3):194-9. doi: 10.1159/000112925. Epub 2008 Jan 9.

Basal cell carcinomas and actinic keratoses seen in dermatological practice in France: a cross-sectional survey.

Author information

1
Department of Dermatology, CHU Reims, Robert Debré Hospital, Reims, France. pbernard@chu-reims.fr

Abstract

BACKGROUND:

Most actinic keratoses (AKs) and a number of basal cell carcinomas (BCCs) cannot be assessed by pathological records.

OBJECTIVE:

To estimate prospectively the figures and characteristics of BCCs and AKs seen by French dermatologists, their medical load, and present a more realistic approach to their incidence.

METHODS:

A cross-sectional study conducted in France in a representative sample of dermatologists (n = 215). Out-patients seen for 1 or more BCCs or AKs were recorded over 4 non-consecutive weeks.

RESULTS:

Among 78,300 out-patients, 1,321 had 1 (or more) BCC, and 3,688 had 1 or more AKs (1 and 5% of consultations made by dermatologists). When extrapolating, the medical load in France was estimated at 248,000 and 693,000 consultations/year leading to a clinical diagnosis of BCC and AK, respectively. A total of 1,655 BCCs were diagnosed including 839 superficial (50.7%), 636 nodular (38.4%), 137 morpheiform (8.3%) and 43 other types (2.6%). Superficial and nodular BCCs were more frequently diagnosed with a small size (<10 mm) than morpheiform BCCs.

CONCLUSION:

Our study in France provides the first estimate of the clinical burden represented by AKs and BCCs in dermatology practice.

PMID:
18182809
DOI:
10.1159/000112925
[Indexed for MEDLINE]
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