title: Need For Improved Skin Cancer Surveillance in Pediatric Cancer Survivors.
abstract: Survivors of pediatric cancer are at increased risk of developing secondary malignancies, with non-melanoma skin cancer being the most common. These patients are also at increased risk of melanoma. Currently, guidelines provided by the National Cancer Institute and Children's Oncology Group emphasize the importance of annual clinical examination for skin cancer screening; however, the literature reports that less than one-third of survivors of pediatric cancer have ever had a clinical skin exam by a physician. In this article, we review the risk factors for skin cancer in survivors of pediatric cancer as well as the current evidence and recommendations for their care. We suggest that dermatologists collectively establish guidelines for skin cancer surveillance in survivors of pediatric cancer.
authors.affiliation: Department of Medicine, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, USA.
authors.forename: Divya
authors.initials: D
authors.lastname: Sharma
authors.affiliation: Department of Dermatology, George Washington School of Medicine and Health Sciences, Medical Faculty Associates at the George Washington University, 22nd & I Street, NW, 2nd Floor, Washington, DC, 20037, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Lee
authors.affiliation: Department of Dermatology, George Washington School of Medicine and Health Sciences, Medical Faculty Associates at the George Washington University, 22nd & I Street, NW, 2nd Floor, Washington, DC, 20037, USA.
authors.forename: Adam J
authors.initials: AJ
authors.lastname: Friedman
authors.affiliation: Department of Dermatology, George Washington School of Medicine and Health Sciences, Medical Faculty Associates at the George Washington University, 22nd & I Street, NW, 2nd Floor, Washington, DC, 20037, USA. kelleypagliai@hotmail.com.
authors.forename: Kelley Pagliai
authors.initials: KP
authors.lastname: Redbord
mesh_terms: D002280:Basal Cell Carcinoma / Q000175:diagnosis / Q000453:epidemiology; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000453:epidemiology; D002648:Child; D055088:Early Detection of Cancer / Q000592:standards*; D062665:Epidemiological Monitoring; D006301:Health Services Needs and Demand; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects; D008545:Melanoma / Q000175:diagnosis / Q000453:epidemiology; D016609:Neoplasms, Second Primary / Q000175:diagnosis* / Q000453:epidemiology*; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000453:epidemiology*; D017741:Survivors