Abstract

Isn't Skin Cancer Preventable?

Highlights

  • What are the implications for cancer chemoprevention in humans as reported in the negative study by Tangrea et al (7) in this issue of the Journal? Impeccably conducted, this multicenter, randomized clinical trial convincingly demonstrated that a low dose of isotretinoin did not decrease the appearance of new primary basal cell carcinomas in patients who had previously had two or more such malignancies and who had follow-up treatment for a mean duration of over 3 years

  • Using a similar study design, Greenberg et al (2) demonstrated that beta carotene at a low dose did not affect the natural history of skin cancer

  • The architecture of the normal skin of most lower mammalian animals and humans is very different and the histology of the skin cancers induced by chemical or UV light in lower animals is largely fibrosarcoma rather than the basal or squamous cell carcinoma typically seen in humans

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Summary

Introduction

What are the implications for cancer chemoprevention in humans as reported in the negative study by Tangrea et al (7) in this issue of the Journal? Conducted, this multicenter, randomized clinical trial convincingly demonstrated that a low dose of isotretinoin did not decrease the appearance of new primary basal cell carcinomas in patients who had previously had two or more such malignancies and who had follow-up treatment for a mean duration of over 3 years. Using a similar study design, Greenberg et al (2) demonstrated that beta carotene at a low dose did not affect the natural history of skin cancer.

Results
Conclusion
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