Evidence map›Paper›PMID 36983966›Full record

ArticleLife (Basel, Switzerland)2023

Degree of Actinic Elastosis Is a Surrogate of Exposure to Chronic Ultraviolet Radiation and Correlates More Strongly with Cutaneous Squamous Cell Carcinoma than Basal Cell Carcinoma.

Konstantin Drexler, Hans Drexler, Sigrid Karrer, Michael Landthaler, Sebastian Haferkamp, Florian Zeman, Mark Berneburg, Dennis Niebel

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Konstantin DrexlerDepartment of Dermatology, University Hospital Regensburg, 93053 Regensburg, Germany.
Hans DrexlerInstitute for Vocational, Social and Environmental Medicine, University Hospital Erlangen, 91054 Erlangen, Germany.
Sigrid KarrerDepartment of Dermatology, University Hospital Regensburg, 93053 Regensburg, Germany.
Michael LandthalerDepartment of Dermatology, University Hospital Regensburg, 93053 Regensburg, Germany.
Sebastian HaferkampDepartment of Dermatology, University Hospital Regensburg, 93053 Regensburg, Germany.
Florian ZemanCenter for Clinical Studies, University Hospital Regensburg, 93053 Regensburg, Germany.
Mark BerneburgDepartment of Dermatology, University Hospital Regensburg, 93053 Regensburg, Germany.
Dennis NiebelDepartment of Dermatology, University Hospital Regensburg, 93053 Regensburg, Germany.ORCID 0000-0003-2069-0486

Funding

KD is a collegiate member of the "Else-Kröner-Fresenius-Stiftung" and member of "BZKF Young Scientist Fellowship". xxx
6 · The paper itself

Abstract

(1) Background: Keratinocyte cancer (KC) is associated with exposure to ultraviolet (UV) radiation. However, data are controversial as to whether chronic UV exposure or high intermittent UV exposure are key drivers of carcinogenesis in cutaneous squamous cell carcinoma (cSCC) and basal cell carcinoma (BCC). Prolonged sun exposure of the skin causes photo-aging, which is associated with actinic elastosis, a condition characterized by the degeneration of elastin in the upper dermis, which is assessable via conventional histology. In this study, we aimed to compare the degree of actinic elastosis in different types of KC with regard to various patient characteristics. (2) Methods: We defined a semiquantitative score for the degree of actinic elastosis ranging from 0 = none to 3 = total loss of elastic fibers (basophilic degeneration). The extent was measured histometrically by two independent dermatohistopathologists in the immediate vicinity of 353 KC. The scores were merged and matched with tumor types (cSCC and BCC with subtypes), and clinical variables such as body site, sex and age. (3) Results: As expected, the degree of actinic elastosis correlated with age. However, it was significantly higher in cSCC compared to BCC irrespective of age, sex, body site and tumor subtypes. (4): Conclusions: Lifetime sun exposure may be estimated via routine histology using this scoring technique for actinic elastosis as a surrogate marker. cSCCs are more strongly associated with chronic UV exposure than BCCs, even in sun-exposed localizations such as the face.

Indexed as

actinic elastosishistopathologykeratinocyte cancernon-melanoma skin canceroccupational disease

Identifiers

PMID36983966
PMCPMC10055681

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.