• Ana Benedičič - Pilih Dermatovenerološki oddelek, Splošna bolnišnica, Oblakova 5, 3000 Celje
  • Igor Bartenejev Dermatovenerološka klinika, Klinični center, Zaloška 2, 1525 Ljubljana
Keywords: skin cancer, sunlight, ultraviolet radiation, photoprotection


Background. The incidence of skin cancer is increasing in the world as well as in our country. Decades of research have increased the understanding of the ethiopathogenetic influences and risk factors for development of malignant skin tumors and stimulated efforts to promote their prevention. There are successes of prevention programs in some places in the world expressing with the reduction of mortality because of the cutaneous malignant melanoma. A primary prevention of a skin cancer attempts to change population knowledge, attitudes and beliefs about sunlight, leading to reduce of sunlight exposure.

Conclusions. In this article we are discussing guidelines for photoprevention. The best approach to it is a reduction in the overall exposure to sunlight. The natural protection with the use of shade, clothing and hats is promoted as the best protection. Sunscreens are assumed as an important component of adjuvant photoprotection based on their convenience of use and also on their widespread promotion. While it has been argued that all tanning is a manifestation of skin injury, avoiding of artificial tanning devices is proposed also.


Download data is not yet available.


Marks R. Skin cancer control in Australia: the balance between primary prevention and early detection. Arch Dermatol 1995; 37: 179–86.

Benedičič-Pilih A, Bartenjev I. Epidemiologija, etiopatogenetski vplivi in možnosti preprečevanja malignih tumorjev kože. Zdrav Vestn 1999; 68: II-25–8.

Lim HW, Cooper K. The health impact of solar radiation and prevention strategies. J Am Acad Dermatol 1999; 41: 81–99.

Marks R. Photoprotection and prevention of melanoma. Eur J Dermatol 1999; 406–12.

International Agency for Research on Cancer. Solar and ultraviolet radiation. Monographs on evaluation of carcinogenic risks to humans. Lyon: World Health Organization, 1992; 55: 1–316.

Drake LA, Dinehart SM, Farmer ER et al. Guidelines of care for photoaging/photodamage. J Am Acad Dermatol 1996; 35: 462–4.

Stern RS, Weinstein MC, Baker SG. Risk reduction for nonmelanoma skin cancer with childhood sunscreen use. Arch Dermatol 1986; 122: 537–45.

Koh HK, Geller AC, Miller DR, Grossbart TA, Lew RA. Prevention and early detection strategies for melanoma and skin cancer. Arch Dermatol 1996; 132: 436–43.

Kaminester LH. Zaščita pred sončnimi žarki. JAMA (Slov) 1997; 3: 23–8.

Hoffmann K, Hoffmann A, Altmeyer P. Clothing as a protection against the sun. In: Altmeyer P, Hoffmann K, Stuecker M. Skin cancer and UV radiation. Berlin: Springer Verlag, 1997: 363–73.

Dummer R, Osterwalder U. UV transmission of summer clothing in Switzerland and Germany. Dermatology 2000; 2000: 81–2.

Adam JE. The importance of clothing as a sun protector. The Skin Cancer Foundation Journal 2001; 19: 34–5, 82.

Siegel ME. Safe in the sun. 2nd ed. New York: Walker and Company, 1995: 1–87.

Čufar A, Kristl J. Varovalni pripravki za sončenje. I. del: sevanje, varovalni mehanizmi in UV-filtri. Farm Vestn 1994; 45: 71–87.

Čufar A, Kristl J. Varovalni pripravki za sončenje. II. del: oblikovanje in mednarodni predpisi. Farm Vestn 1994; 45: 147–63.

Schauder S. Sunscreens in Europe: Recent developments. In: Altmeyer P, Hoffmann K, Stuecker M. Skin cancer and UV radiation. Berlin: Springer Verlag, 1997: 276–93.

McLean DI, Gallagher R. Sunscreens. Dermatol Clin 1998; 16: 219–25.

Lowe N. Efficacy of sunscreens. In: Baran R, Maibach HI. Textbook of cosmetic dermatology. 2nd ed. London: Martin Dunitz Ltd., 1998: 317–29.

Mascotto RE, Sanzare CM. Regulations in sunscreens. In: Altmeyer P, Hoffmann K, Stuecker M. Skin cancer and UV radiation. Berlin: Springer Verlag, 1997: 325–31.

Westerdahl J, Olsson H, Masback A et al. Is the use of sunscreens a risk factor for malignant melanoma? Melanoma Res 1995; 5: 59–65.

Autier P. Sunscreen and melanoma revisited. Arch Dermatol 2000; 136: 423–3.

Autier P, Dore JF, Cattaruzza MS et al. Sunscreen use, wearing clothes, and number of nevi in 6- to 7-year-old European children. J Natl Cancer Inst 1998; 90: 1873–80.

Autier P, Dore JF, Negrier S et al. Sunscreen use and duration of sun exposure: a double-blind, randomized trial. J Natl Cancer Inst 1999; 91: 1304–9.

Swerdlow AJ, Weinstock MA. Do tanning lamps cause melanoma? An epidemiologic assessment. J Am Acad Dermatol 1998; 38: 89–98.

How to Cite
Benedičič - Pilih A, Bartenejev I. PRIMARY PREVENTION OF MALIGNANT SKIN TUMORS – PHOTOPROTECTION. ZdravVestn [Internet]. 1 [cited 30Mar.2020];70. Available from: