A Study of Basal Cell Carcinoma in South Asians for Risk Factor and Clinicopathological Characterization: A Hospital Based Study

Objectives. Although the incidence of skin cancers in India (part of South Asia) is low, the absolute number of cases may be significant due to large population. The existing literature on BCC in India is scant. So, this study was done focusing on its epidemiology, risk factors, and clinicopathologi...

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Main Authors: Sumir Kumar, Bharat Bhushan Mahajan, Sandeep Kaur, Ashish Yadav, Navtej Singh, Amarbir Singh
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Skin Cancer
Online Access:http://dx.doi.org/10.1155/2014/173582
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author Sumir Kumar
Bharat Bhushan Mahajan
Sandeep Kaur
Ashish Yadav
Navtej Singh
Amarbir Singh
author_facet Sumir Kumar
Bharat Bhushan Mahajan
Sandeep Kaur
Ashish Yadav
Navtej Singh
Amarbir Singh
author_sort Sumir Kumar
collection DOAJ
description Objectives. Although the incidence of skin cancers in India (part of South Asia) is low, the absolute number of cases may be significant due to large population. The existing literature on BCC in India is scant. So, this study was done focusing on its epidemiology, risk factors, and clinicopathological aspects. Methods. A hospital based cross-sectional study was conducted in Punjab, North India, from 2011 to 2013. History, examination and histopathological confirmation were done in all the patients visiting skin department with suspected lesions. Results. Out of 36 confirmed cases, 63.9% were females with mean ± SD age being 60.9±14.2 years. Mean duration of disease was 4.7 years. Though there was statistically significant higher sun exposure in males compared to females (P value being 0.000), BCC was commoner in females, explainable by intermittent sun exposure (during household work in the open kitchens) in women. Majority of patients (88.9%) had a single lesion. Head and neck region was involved in 97.2% of cases, with nose being the commonest site (50%) with nodular/noduloulcerative morphology in 77.8% of cases. Pigmentation was evident in 22.2% of cases clinically. Nodular variety was the commonest histopathological variant (77.8%). Conclusions. This study highlights a paradoxically increasing trend of BCC with female preponderance, preferential involvement of nose, and higher percentage of pigmentation in Indians.
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spelling doaj-art-de93157af7d6424b84be46dde45dc5fc2025-08-20T02:21:06ZengWileyJournal of Skin Cancer2090-29052090-29132014-01-01201410.1155/2014/173582173582A Study of Basal Cell Carcinoma in South Asians for Risk Factor and Clinicopathological Characterization: A Hospital Based StudySumir Kumar0Bharat Bhushan Mahajan1Sandeep Kaur2Ashish Yadav3Navtej Singh4Amarbir Singh5Department of Dermatology, Venereology & Leprology, Guru Gobind Singh Medical College & Hospital, Sadiq Road, Faridkot, Punjab 151203, IndiaDepartment of Dermatology, Venereology & Leprology, Guru Gobind Singh Medical College & Hospital, Sadiq Road, Faridkot, Punjab 151203, IndiaDepartment of Dermatology, Venereology & Leprology, Guru Gobind Singh Medical College & Hospital, Sadiq Road, Faridkot, Punjab 151203, IndiaDepartment of Skin & V.D., OPD Block, Guru Gobind Singh Medical College & Hospital, Sadiq Road, Faridkot, Punjab 151203, IndiaDepartment of Skin & V.D., OPD Block, Guru Gobind Singh Medical College & Hospital, Sadiq Road, Faridkot, Punjab 151203, IndiaDepartment of Dermatology, Venereology & Leprology, Guru Gobind Singh Medical College & Hospital, Sadiq Road, Faridkot, Punjab 151203, IndiaObjectives. Although the incidence of skin cancers in India (part of South Asia) is low, the absolute number of cases may be significant due to large population. The existing literature on BCC in India is scant. So, this study was done focusing on its epidemiology, risk factors, and clinicopathological aspects. Methods. A hospital based cross-sectional study was conducted in Punjab, North India, from 2011 to 2013. History, examination and histopathological confirmation were done in all the patients visiting skin department with suspected lesions. Results. Out of 36 confirmed cases, 63.9% were females with mean ± SD age being 60.9±14.2 years. Mean duration of disease was 4.7 years. Though there was statistically significant higher sun exposure in males compared to females (P value being 0.000), BCC was commoner in females, explainable by intermittent sun exposure (during household work in the open kitchens) in women. Majority of patients (88.9%) had a single lesion. Head and neck region was involved in 97.2% of cases, with nose being the commonest site (50%) with nodular/noduloulcerative morphology in 77.8% of cases. Pigmentation was evident in 22.2% of cases clinically. Nodular variety was the commonest histopathological variant (77.8%). Conclusions. This study highlights a paradoxically increasing trend of BCC with female preponderance, preferential involvement of nose, and higher percentage of pigmentation in Indians.http://dx.doi.org/10.1155/2014/173582
spellingShingle Sumir Kumar
Bharat Bhushan Mahajan
Sandeep Kaur
Ashish Yadav
Navtej Singh
Amarbir Singh
A Study of Basal Cell Carcinoma in South Asians for Risk Factor and Clinicopathological Characterization: A Hospital Based Study
Journal of Skin Cancer
title A Study of Basal Cell Carcinoma in South Asians for Risk Factor and Clinicopathological Characterization: A Hospital Based Study
title_full A Study of Basal Cell Carcinoma in South Asians for Risk Factor and Clinicopathological Characterization: A Hospital Based Study
title_fullStr A Study of Basal Cell Carcinoma in South Asians for Risk Factor and Clinicopathological Characterization: A Hospital Based Study
title_full_unstemmed A Study of Basal Cell Carcinoma in South Asians for Risk Factor and Clinicopathological Characterization: A Hospital Based Study
title_short A Study of Basal Cell Carcinoma in South Asians for Risk Factor and Clinicopathological Characterization: A Hospital Based Study
title_sort study of basal cell carcinoma in south asians for risk factor and clinicopathological characterization a hospital based study
url http://dx.doi.org/10.1155/2014/173582
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