Research summary, original research, 2005

Nonmelanoma skin cancer in relation to ionizing radiation exposure among U.S. radiologic technologists

Yoshinaga S, Hauptmann M, Sigurdson AJ, Doody MM, Freedman DM, Alexander BH, et al.. International journal of cancer. 2005

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In plain language

In a large US cohort of radiologic technologists, those who began work before 1960, when occupational radiation doses were higher, had higher basal cell skin cancer risk, especially with lighter pigmentation. Squamous cell carcinoma risk was not elevated.

At a glance

Type of study
Original research, Prospective cohort study
Who was studied
Radiologic technologists
Size
n = 65,304 radiologic technologists
Where
United States
Summary based on
the abstract

What it found

  • Basal cell carcinoma risk was elevated in technologists who first worked before 1940, when occupational exposures were high, compared with those who started after 1960.

    Key figures: Relative risk (RR) = 2.16; 95% confidence interval (CI) = 1.14-4.09

  • Elevated BCC risk also seen for those first working in the 1940s and 1950s, with a significant trend.

    Key figures: 1940s RR = 2.04 (95% CI 1.44-2.88); 1950s RR = 1.42 (95% CI 1.12-1.80); p for trend < 0.01

  • No elevated risk was found for squamous cell carcinoma.

  • The effect on BCC risk was not modified by UV exposure but was stronger in those with lighter eye and hair color.

    Key figures: p = 0.013 (eye) and 0.027 (hair)

  • Cases analysed within the cohort.

    Key figures: 1,355 BCC cases; 270 squamous cell carcinoma (SCC) cases

Limits to keep in mind

Exposure was estimated by surrogate measures (year first worked) rather than individual doses, and the cohort was limited to white technologists responding to questionnaires, so outcomes and covariates may partly rely on self-report.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.