Malignant melanoma in marathon runner

Ambros-Rudolph, Christina M., Hofmann-Wellenhof, Rainer, Richtig, Erika, Müller-Fürstner, Manuela, Soyer, H. Peter and Kerl, Helmut (2006) Malignant melanoma in marathon runner. Archives of dermatology, 142 11: 1471-1474. doi:10.1001/archderm.142.11.1471

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Author Ambros-Rudolph, Christina M.
Hofmann-Wellenhof, Rainer
Richtig, Erika
Müller-Fürstner, Manuela
Soyer, H. Peter
Kerl, Helmut
Title Malignant melanoma in marathon runner
Journal name Archives of dermatology   Check publisher's open access policy
ISSN 0003-987X
Publication date 2006-11
Year available 2006
Sub-type Article (original research)
DOI 10.1001/archderm.142.11.1471
Open Access Status File (Publisher version)
Volume 142
Issue 11
Start page 1471
End page 1474
Total pages 4
Place of publication Chicago, Ill.
Publisher AMA
Language eng
Subject 110304 Dermatology
Abstract Background Marathon running has surged in popularity; it is generally believed to be healthy, but may be associated with medical risks. Over the past decade, we observed 8 ultramarathon runners with malignant melanoma. UV exposure, immunosuppression due to long-term intensive exercise, or both have been discussed as potential triggers in these patients. To further evaluate risk factors for malignant melanoma in marathon runners, we examined anamnestic, phenotypic, sun-related, and clinical variables in 210 athletes and compared them with those of an age- and sex-matched control group. Observations Although control subjects exhibited higher sun sensitivity and more common melanocytic nevi, marathon runners presented with more atypical melanocytic nevi, solar lentigines, and lesions suggestive of nonmelanoma skin cancer. These findings correlated with increasing training intensity. During exercising, most runners wore shorts (96.7%) and shirts (98.6%) that would not or would only partially cover their back and extremities. Regular use of sunscreen was reported in only 56.2% of runners. Conclusions Compared with a representative control group, marathon runners presented with an increased risk for malignant melanoma and nonmelanoma skin cancer. They should reduce UV exposure during exercising by choosing training and competition schedules with low sun exposure, wearing adequate clothing, and regularly using water-resistant sunscreens
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
 
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