Panorama dos casos de câncer de pele não melanoma no estado de Santa Catarina de 2000 a 2023

Abstract

Introduction: In Brazil, non-melanoma skin cancer has a high frequency, especially in the Southern region, where phenotypic characteristics, intense sun exposure, and agricultural activities increase risk; Santa Catarina presents one of the highest national incidence rates, reinforcing the need for rigorous monitoring and better understanding of its epidemiological profile. Objective: To describe the clinical and demographic characteristics of non-melanoma skin cancer cases reported by high-complexity oncology services in the state of Santa Catarina from 2000 to 2023. Method: This cross-sectional study analyzed cases registered in high- complexity oncology services using individual patient data from the Integrating Module of the Hospital Cancer Registry, including sociodemographic, clinical, and therapeutic variables organized and examined through cross-tabulation in SPSS, with results presented as absolute and relative frequencies. Results: A total of 35,658 cases were analyzed, showing predominance of men (51.4%), older adults aged 60–79 years (63%), White individuals (91%), and those with low educational attainment (41%), along with high representation of workers chronically exposed to sunlight (60%). Clinically, most patients reported no family history of cancer (81.6%), were non-smokers (61%), and non-alcohol users (68%); 21.3% presented multiple primary tumors, and surgery was the most frequent treatment (48.2%). Spatially, cases concentrated in coastal and urban regions, with progressive increases after 2011. Conclusion: Limitations included incomplete variables in earlier years, lack of detailed clinical information, and the exclusive inclusion of high-complexity services; findings reinforce the need to strengthen skin cancer surveillance in the state and highlight the strategic role of nursing in prevention, health promotion, and evidence-based care coordination.