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We don't understand the molecular basis for susceptibility to basal cell carcinoma nearly as well as we understand the basis for susceptibility to cutaneous melanoma. Because sun exposure is the main risk factor for BCC, alleles associated with light pigmentation likely contribute to BCC risk. However, variants that do not directly influence pigment may ultimately provide the greatest insight into the pathogenesis of BCCs and other nonmelanoma skin cancers.
The authors of the deCODE study, who previously identified several BCC risk loci (see JW Dermatol Nov 7 2008), extended their analysis to 30 likely single nucleotide polymorphisms (SNPs) from a genome-wide association study. Genotyping an additional 903 Icelandic BCC cases and a case-cont…