Scopul studiului: estimarea incidentei epitelioamelor cutanate (bazo si spinocelulare) la populatia judetului Tulcea si analiza posibililor factori de risc.

Material: utilizand un formular special, au fost inregistrate toate cazurile de epitelioame cutanate diagnosticate histopatologic si raportate Registrului judetean de Cancer Tulcea, intre 36 si 104 cazuri anual.

Rezultate: incidenta anuala, corelata cu grupele de varsta, a variat intre 36-69%000. Au fost analizate o serie de elemente considerate ca posibili factori de risc: varsta, tipul rasial, culoarea ochilor si a parului, alimentatia cu nivelul de lipide, retinol si seleniu, consumul de alcool, fumatul, expunerea la chimicale, consumul de medicamente, profesia, stilul de viata, factori de risc geografici si de mediu, etc. Datele au fost colectate incepand cu anul 1985, de la pacienti diagnosticati histopatologic incepand cu anul 1975 si inclusi din 1981 in Registrul judetean de Cancer Tulcea. Pentru intervalele 1981-1985, 1987-1992 si 1993-1998 au fost realizate harti ale distributiei cazurilor la nivelul comunelor judetului.

Concluzii. Registrul pune la dispozitie o baza de date utila pentru studiile de epidemiologie ca si in realizarea unor eventuale programe de prevenire.

Aim of the study. The aim are to estimate the incidence of skin cancers (basal cell carcinoma and squamous cell carcinoma) in the Tulcea Department.

Material. Eligible cases, currently 40-104 yearly, are identified via histological resultate reported to Departamental Cancer Service.

Results: the average anual age-adjusted incidence rate per 100.000 were 36-6936-69%000. Multiple data: age, race skin, eye and hair colour, diet with lipid intake: selenium and retinol ratio, alcohol, smoking, exposure to UV light, exposure to ionising and non-ionising radiation, exposure to chemicals, drug consumption, profession, life style, geographical and environmental factors, etc. were also collected to patients diagnosed between 1975. Are analised the posibily correlations of this factors with skin carcinoma. Are realized, for intervals 1981-1986, 1987-1992 and 1993-1998 the maps of skin cancer distribution in little guvernamental district.

Conclusions: the purpose of the registry is to use these data for epidemiological studies such as determining changes in incidence in relation of time, variations in lifes style, geographical and environmental factors.