title: Increased burden of melanoma and nonmelanoma skin cancer in young women.
abstract: BACKGROUND
  A higher and increasing incidence of skin cancer has been noted in younger women as compared with men.
  
  
  OBJECTIVE
  To assess the relative gender burden of basal cell carcinoma, squamous cell carcinoma, and malignant melanoma in various age groups, particularly in young adult women.
  
  
  METHODS
  A total of 16,994 biopsy-proven skin cancers in 9,376 patients in a single private dermatologic surgery practice was included in this study.
  
  
  RESULTS
  Men constituted the majority (63.7%, p < .0001) of patients, accounting for 68.7% of squamous cell carcinomas (p < .0001), 60.8% of basal cell carcinomas (p < .0001), and 57.5% of malignant melanomas (p < .0001). However, a statistically significant majority of melanomas (67.3%, p < .0001) and basal cell carcinomas (60.4%, p < .0001) were seen in women in patients aged 10 to 49 years. There was also a statistically significant increase in the female representation in patients aged 10 to 49 years as compared with those aged 50 to 99 years with respect to squamous cell carcinoma.
  
  
  CONCLUSIONS
  Women comprise a statistically significant majority of patients with melanoma and basal cell carcinoma in the younger (10-49 years) age groups. This raises a concern regarding an increased future incidence of skin cancer in this population group and a demographic shift to increased female representation among patients with skin cancer.
authors.affiliation: *University of Texas Medical School at Houston, Houston, Texas; †DermSurgery Associates, Houston, Texas.
authors.forename: Sarah S
authors.initials: SS
authors.lastname: Evans
authors.forename: Ming H
authors.initials: MH
authors.lastname: Jih
authors.forename: Leonard H
authors.initials: LH
authors.lastname: Goldberg
authors.forename: Arash
authors.initials: A
authors.lastname: Kimyai-Asadi
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000453:epidemiology; D002294:Carcinoma, Squamous Cell / Q000453:epidemiology; D002648:Child; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008545:Melanoma / Q000453:epidemiology*; D008875:Middle Aged; D011446:Prospective Studies; D012878:Skin Neoplasms / Q000453:epidemiology*; D013781:Texas / Q000453:epidemiology; D000096142:Cutaneous Malignant Melanoma