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Tetracycline use and risk of incident skin cancer: a prospective study.


ABSTRACT:

Background

Tetracycline is a photosensitising medication that increases skin vulnerability to UV-related damage.

Methods

We prospectively examined tetracycline use and risk of incident melanoma, squamous cell carcinoma (SCC), and basal cell carcinoma (BCC) based on 213?536 participants from the Nurses' Health Study (NHS), NHS2, and Health Professionals Follow-up Study. Information on ever use of tetracycline was asked via questionnaire. Diagnoses of melanoma and SCC were pathologically confirmed.

Results

Tetracycline use was associated with a modestly increased risk of BCC (ncase=36?377), with a pooled hazard ratio (HR) of 1.11 (95% confidence interval (CI)=1.02-1.21, P-trend=0.05 by duration of use). Tetracycline use was not significantly associated with melanoma (ncase=1831, HR=1.09, 95% CI=0.94-1.27) or SCC (ncase=3332, HR=1.04, 95% CI=0.91-1.18) risk overall. However, we observed positive interactions between tetracycline use and adulthood UV exposure on SCC risk (P-interaction=0.05).

Conclusion

Tetracycline use was associated with a modestly increased risk of BCC, but was not associated with melanoma or SCC.

SUBMITTER: Li WQ 

PROVIDER: S-EPMC5785738 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature

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Publications

Tetracycline use and risk of incident skin cancer: a prospective study.

Li Wen-Qing WQ   Drucker Aaron M AM   Cho Eunyoung E   Laden Francine F   VoPham Trang T   Li Suyun S   Weinstock Martin A MA   Qureshi Abrar A AA  

British journal of cancer 20171026 2


<h4>Background</h4>Tetracycline is a photosensitising medication that increases skin vulnerability to UV-related damage.<h4>Methods</h4>We prospectively examined tetracycline use and risk of incident melanoma, squamous cell carcinoma (SCC), and basal cell carcinoma (BCC) based on 213 536 participants from the Nurses' Health Study (NHS), NHS2, and Health Professionals Follow-up Study. Information on ever use of tetracycline was asked via questionnaire. Diagnoses of melanoma and SCC were pathologi  ...[more]

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