Outdoor work as a risk factor for high-grade cutaneous squamous cell carcinoma of the head and neck

Mateusz Szewczyk; Jakub Pazdrowski; Paweł Golusiński; Aleksandra Dańczak-Pazdrowska; Mariola Pawlaczyk; Jacek Sygut; Andrzej Marszałek; Wojciech Golusiński

doi:10.5114/ada.2018.75841

eISSN: 2299-0046
ISSN: 1642-395X

Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii

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abstract:

Original paper

Outdoor work as a risk factor for high-grade cutaneous squamous cell carcinoma of the head and neck

Mateusz Szewczyk

,

Jakub Pazdrowski

,

Paweł Golusiński

,

Aleksandra Dańczak-Pazdrowska

,

Mariola Pawlaczyk

,

Jacek Sygut

,

Andrzej Marszałek

,

Wojciech Golusiński

Adv Dermatol Allergol 2018; XXXV (4): 408–412

DOI: https://doi.org/10.5114/ada.2018.75841

Online publish date: 2018/08/21

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AMA

Szewczyk M, Pazdrowski J, Golusiński P, et al. Outdoor work as a risk factor for high-grade cutaneous squamous cell carcinoma of the head and neck. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2018;35(4):408-412. doi:10.5114/ada.2018.75841.

APA

Szewczyk, M., Pazdrowski, J., Golusiński, P., Dańczak-Pazdrowska, A., Pawlaczyk, M.,  & Sygut, J. et al. (2018). Outdoor work as a risk factor for high-grade cutaneous squamous cell carcinoma of the head and neck. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, 35(4), 408-412. https://doi.org/10.5114/ada.2018.75841

Chicago

Szewczyk, Mateusz, Jakub Pazdrowski, Paweł Golusiński, Aleksandra Dańczak-Pazdrowska, Mariola Pawlaczyk, Jacek Sygut,  and Andrzej Marszałek et al. 2018. "Outdoor work as a risk factor for high-grade cutaneous squamous cell carcinoma of the head and neck". Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii 35 (4): 408-412. doi:10.5114/ada.2018.75841.

Harvard

Szewczyk, M., Pazdrowski, J., Golusiński, P., Dańczak-Pazdrowska, A., Pawlaczyk, M., Sygut, J., Marszałek, A.,  and Golusiński, W. (2018). Outdoor work as a risk factor for high-grade cutaneous squamous cell carcinoma of the head and neck. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, 35(4), pp.408-412. https://doi.org/10.5114/ada.2018.75841

MLA

Szewczyk, Mateusz et al. "Outdoor work as a risk factor for high-grade cutaneous squamous cell carcinoma of the head and neck." Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, vol. 35, no. 4, 2018, pp. 408-412. doi:10.5114/ada.2018.75841.

Vancouver

Szewczyk M, Pazdrowski J, Golusiński P, Dańczak-Pazdrowska A, Pawlaczyk M, Sygut J et al. Outdoor work as a risk factor for high-grade cutaneous squamous cell carcinoma of the head and neck. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2018;35(4):408-412. doi:10.5114/ada.2018.75841.

Introduction
While it is clear that individuals with outdoor occupations are at a significantly greater risk of developing cutaneous squamous cell carcinoma (cSCC), no previous studies have investigated the potential association between the tumour grade and occupation in this patient population.

Aim
To assess occupation as a risk factor for the development of high-grade cSCC. Secondarily, to determine the association between the tumour grade and other clinical characteristics.

Material and methods
Retrospective analysis of 256 patients treated for head and neck cSCC at our institution in 2007–2016. The following patient characteristics and variables were assessed: age; sex; tumour location and grade; profession; and education level. A univariate analysis was performed to assess the association between each study variable and grade 3 tumour differentiation.

Results
The following variables were significantly associated (p < 0.05) with grade 3 (G3) cSCC tumours: outdoor work vs. indoor work; primary school vs. high school education; and age. Additionally, patients with low-grade (G1) tumours were significantly younger (mean age: 72) than patients with high-grade (G3) tumours (mean age: 79) (p = 0.046).

Conclusions
To our knowledge, this is the first study to assess the variables associated with the tumour grade among outdoor workers. These findings suggest that outdoor workers who develop cSCC are at a greater risk of developing more aggressive cancers. These findings provide additional support for classifying cSCC as an occupational disease. Early education about the dangers of sun exposure during the first years of school is essential to minimize the risks of developing high-grade skin cancer.

keywords:

Outdoor work as a risk factor for high-grade cutaneous squamous cell carcinoma of the head and neck

Mateusz Szewczyk , Jakub Pazdrowski , Paweł Golusiński , Aleksandra Dańczak-Pazdrowska , Mariola Pawlaczyk , Jacek Sygut , Andrzej Marszałek , Wojciech Golusiński

skin cancer, head neck, occupational disease, grading

Mateusz Szewczyk

,

Jakub Pazdrowski

,

Paweł Golusiński

,

Aleksandra Dańczak-Pazdrowska

,

Mariola Pawlaczyk

,

Jacek Sygut

,

Andrzej Marszałek

,

Wojciech Golusiński