{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:15:07Z","timestamp":1790727307366,"version":"4.1.0"},"reference-count":40,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2025,8,10]],"date-time":"2025-08-10T00:00:00Z","timestamp":1754784000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: The incidence of both non-melanoma and melanoma skin cancers has increased significantly in recent years. Understanding their epidemiology is essential for implementing effective community prevention strategies and optimizing healthcare resource planning. This study aimed to (1) quantify the number of skin tumors diagnosed at the Central University Hospital of Asturias (HUCA) from 2014 to 2023; (2) describe temporal trends in the incidence of basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma; and (3) analyze the clinical and histopathological features of melanoma and estimate age-standardized incidence rates. Methods: A retrospective study was conducted using data from the Pathology Registry of HUCA. Diagnosed cases were collected in an Excel database and analyzed with SPSS v.27. Quantitative variables were expressed as mean \u00b1 standard deviation; categorical variables as counts and percentages. Incidence rates and 95% confidence intervals were calculated using EPIDAT 4.2, based on the European standard population. Municipal population data were obtained from the SADEI website. Results: A total of 7477 BCC, 2689 SCC, and 585 melanoma cases were identified. Over the study period, BCC cases increased by 50%, SCC by 80%, and melanoma by 159%. Among melanoma cases, 89% were diagnosed by dermatologists, 60% were women, 33.1% were melanoma in situ, and 73.3% were superficial spreading melanomas. Age-standardized melanoma incidence rose from 8.85\/100,000 in 2014 to 18.50 in 2023. Conclusions: Skin cancer incidence, especially melanoma, has risen markedly in Asturias, with more in situ cases suggesting improved early detection. The 2020 decline reflects COVID-19\u2032s impact on access to care, underscoring the need for sustained prevention and screening efforts.<\/jats:p>","DOI":"10.3390\/jcm14165654","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T09:59:13Z","timestamp":1754906353000},"page":"5654","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Cutaneous Cancer Trends in Spain: An Emerging Epidemic with Shifting Tumor Types"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5578-3522","authenticated-orcid":false,"given":"Jorge","family":"Santos-Juanes","sequence":"first","affiliation":[{"name":"GRIDER, Grupo de Investigaci\u00f3n en Dermatolog\u00eda, Universidad de Oviedo; 33006 Oviedo, Spain"},{"name":"Unidad de Gesti\u00f3n Cl\u00ednica de Dermatolog\u00eda, Hospital Universitario Central de Asturias, 33006 Oviedo, Spain"},{"name":"\u00c1rea de Dermatolog\u00eda, Departamento de Medicina, Facultad de Medicina, Universidad de Oviedo, Avda Juli\u00e1n Claver\u00eda s\/n, 33006 Oviedo, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria del Principado de Asturias (ISPA), 33011 Oviedo, Spain"},{"name":"Instituto Universitario de Oncolog\u00eda del Principado de Asturias, University of Oviedo, 33006 Oviedo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1644-1655","authenticated-orcid":false,"given":"Raquel","family":"Santos-Juanes","sequence":"additional","affiliation":[{"name":"Unidad de Gesti\u00f3n Cl\u00ednica de Dermatolog\u00eda, Hospital Universitario Central de Asturias, 33006 Oviedo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4385-5935","authenticated-orcid":false,"given":"Marta","family":"L\u00f3pez-Pando","sequence":"additional","affiliation":[{"name":"Unidad de Gesti\u00f3n Cl\u00ednica de Dermatolog\u00eda, Hospital Universitario Central de Asturias, 33006 Oviedo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Garc\u00eda-Puente","sequence":"additional","affiliation":[{"name":"Unidad de Gesti\u00f3n Cl\u00ednica de Dermatolog\u00eda, Hospital Universitario Central de Asturias, 33006 Oviedo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Plaza-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Unidad de Gesti\u00f3n Cl\u00ednica de Dermatolog\u00eda, Hospital Universitario Central de Asturias, 33006 Oviedo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4213-4210","authenticated-orcid":false,"given":"Celia","family":"G\u00f3mez de Castro","sequence":"additional","affiliation":[{"name":"GRIDER, Grupo de Investigaci\u00f3n en Dermatolog\u00eda, Universidad de Oviedo; 33006 Oviedo, Spain"},{"name":"Unidad de Gesti\u00f3n Cl\u00ednica de Dermatolog\u00eda, Hospital Universitario Central de Asturias, 33006 Oviedo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Palacios-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Unidad de Gesti\u00f3n Cl\u00ednica de Dermatolog\u00eda, Hospital Universitario Central de Asturias, 33006 Oviedo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0274-2863","authenticated-orcid":false,"given":"Cristina","family":"Galache","sequence":"additional","affiliation":[{"name":"GRIDER, Grupo de Investigaci\u00f3n en Dermatolog\u00eda, Universidad de Oviedo; 33006 Oviedo, Spain"},{"name":"Unidad de Gesti\u00f3n Cl\u00ednica de Dermatolog\u00eda, Hospital Universitario Central de Asturias, 33006 Oviedo, Spain"},{"name":"\u00c1rea de Dermatolog\u00eda, Departamento de Medicina, Facultad de Medicina, Universidad de Oviedo, Avda Juli\u00e1n Claver\u00eda s\/n, 33006 Oviedo, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria del Principado de Asturias (ISPA), 33011 Oviedo, Spain"},{"name":"Instituto Universitario de Oncolog\u00eda del Principado de Asturias, University of Oviedo, 33006 Oviedo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/978-3-030-46227-7_6","article-title":"Epidemiology of skin cancer: Update 2019","volume":"1268","author":"Leiter","year":"2020","journal-title":"Adv. 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