BACKGROUND: During routine surgical treatment of basal cell carcinomas (BCCs), we observed an apparent inverse relationship between the presence of a BCC and significant wrinkling of the face. To ascertain the veracity of this observation, we performed a clinical and questionnaire-based case-referent study. OBSERVATION: One hundred eighteen successive white patients (mean +/- SD age, 71.9 +/- 9.5 years) attending the hospital for surgical treatment of a BCC and 121 control (no skin cancer) patients (mean +/- SD age, 69.1 +/- 10.8 years) were assessed for grade of facial wrinkling using a previously validated photonumeric scale of photoaging and completed a questionnaire about sun exposure. Despite being older (P =.03), patients with a BCC were found to have a lower mean grade of wrinkling than controls (P =.001). Using logistic regression, increasing grade of wrinkling was associated with a progressive reduction in risk of developing a BCC. CONCLUSION: Mechanisms responsible for the production of facial wrinkles may either be separate to or mitigate against the development of a BCC of the face.
BACKGROUND: During routine surgical treatment of basal cell carcinomas (BCCs), we observed an apparent inverse relationship between the presence of a BCC and significant wrinkling of the face. To ascertain the veracity of this observation, we performed a clinical and questionnaire-based case-referent study. OBSERVATION: One hundred eighteen successive white patients (mean +/- SD age, 71.9 +/- 9.5 years) attending the hospital for surgical treatment of a BCC and 121 control (no skin cancer) patients (mean +/- SD age, 69.1 +/- 10.8 years) were assessed for grade of facial wrinkling using a previously validated photonumeric scale of photoaging and completed a questionnaire about sun exposure. Despite being older (P =.03), patients with a BCC were found to have a lower mean grade of wrinkling than controls (P =.001). Using logistic regression, increasing grade of wrinkling was associated with a progressive reduction in risk of developing a BCC. CONCLUSION: Mechanisms responsible for the production of facial wrinkles may either be separate to or mitigate against the development of a BCC of the face.
Authors: Abigail K Langton; Zara Ali; Mark Hann; Jean Ayer; Rachel E B Watson; Christopher E M Griffiths Journal: Acta Derm Venereol Date: 2020-12-09 Impact factor: 3.875
Authors: A K Langton; J Ayer; T W Griffiths; E Rashdan; K Naidoo; M P Caley; M A Birch-Machin; E A O'Toole; R E B Watson; C E M Griffiths Journal: J Eur Acad Dermatol Venereol Date: 2020-12-30 Impact factor: 6.166