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British Journal of Industrial Medicine logoLink to British Journal of Industrial Medicine
. 1992 Sep;49(9):626–630. doi: 10.1136/oem.49.9.626

Histological type of lung carcinoma in asbestos cement workers and matched controls.

L Johansson 1, M Albin 1, K Jakobsson 1, Z Mikoczy 1
PMCID: PMC1039307  PMID: 1390268

Abstract

Histological types of lung carcinoma were examined in a case series of workers exposed to asbestos cement dust (n = 29) and matched controls (n = 87). The proportion of adenocarcinomas was 31% among the exposed subjects and 15% among the controls (mid-p = 0.05). Among workers with high exposure the proportion of adenocarcinoma was even higher (45%, 5/11; mid-p = 0.03). The proportion of peripheral tumours tended to be higher among exposed cases than controls (24 v 12%, mid-p = 0.12). Lobe of origin did not differ, however, between exposed cases and controls. Thus the study indicates an association between the degree of exposure to asbestos and adenocarcinoma of the lung, and a peripheral rather than central localisation of the tumours, but with virtually the same distribution of lobe of origin as in the general population.

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Selected References

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  1. Adachi S., Takemoto K. [Occupational lung cancer. A comparison between humans and experimental animals]. Sangyo Igaku. 1987 Sep;29(5):345–357. doi: 10.1539/joh1959.29.345. [DOI] [PubMed] [Google Scholar]
  2. Albin M., Jakobsson K., Attewell R., Johansson L., Welinder H. Mortality and cancer morbidity in cohorts of asbestos cement workers and referents. Br J Ind Med. 1990 Sep;47(9):602–610. doi: 10.1136/oem.47.9.602. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Andrion A., Pira E., Fadda T., Mollo F. Lung asbestos bodies and pulmonary cancer in subjects without occupational exposure. Tumori. 1982 Oct 31;68(5):359–364. doi: 10.1177/030089168206800501. [DOI] [PubMed] [Google Scholar]
  4. Auerbach O., Garfinkel L., Parks V. R., Conston A. S., Galdi V. A., Joubert L. Histologic type of lung cancer and asbestos exposure. Cancer. 1984 Dec 15;54(12):3017–3021. doi: 10.1002/1097-0142(19841215)54:12<3017::aid-cncr2820541233>3.0.co;2-9. [DOI] [PubMed] [Google Scholar]
  5. Barrett J. C., Lamb P. W., Wiseman R. W. Multiple mechanisms for the carcinogenic effects of asbestos and other mineral fibers. Environ Health Perspect. 1989 May;81:81–89. doi: 10.1289/ehp.898181. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Browne K. Is asbestos or asbestosis the cause of the increased risk of lung cancer in asbestos workers? Br J Ind Med. 1986 Mar;43(3):145–149. doi: 10.1136/oem.43.3.145. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Davis J. M., Cowie H. A. The relationship between fibrosis and cancer in experimental animals exposed to asbestos and other fibers. Environ Health Perspect. 1990 Aug;88:305–309. doi: 10.1289/ehp.9088305. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Gerde P., Scholander P. A hypothesis concerning asbestos carcinogenicity: the migration of lipophilic carcinogens in adsorbed lipid bilayers. Ann Occup Hyg. 1987;31(3):395–400. doi: 10.1093/annhyg/31.3.395. [DOI] [PubMed] [Google Scholar]
  9. Hammar S. The use of electron microscopy and immunohistochemistry in the diagnosis and understanding of lung neoplasms. Clin Lab Med. 1987 Mar;7(1):1–30. [PubMed] [Google Scholar]
  10. Hourihane D. O., McCaughey W. T. Pathological aspects of asbestosis. Postgrad Med J. 1966 Oct;42(492):613–622. doi: 10.1136/pgmj.42.492.613. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Hughes J. M., Weill H. Asbestosis as a precursor of asbestos related lung cancer: results of a prospective mortality study. Br J Ind Med. 1991 Apr;48(4):229–233. doi: 10.1136/oem.48.4.229. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Ives J. C., Buffler P. A., Greenberg S. D. Environmental associations and histopathologic patterns of carcinoma of the lung: the challenge and dilemma in epidemiologic studies. Am Rev Respir Dis. 1983 Jul;128(1):195–209. doi: 10.1164/arrd.1983.128.1.195. [DOI] [PubMed] [Google Scholar]
  13. KREYBERG L. Histological lung cancer types. A morphological and biological correlation. Acta Pathol Microbiol Scand Suppl. 1962;Suppl 157:1–92. [PubMed] [Google Scholar]
  14. Kannerstein M., Churg J. Pathology of carcinoma of the lung associated with asbestos exposure. Cancer. 1972 Jul;30(1):14–21. doi: 10.1002/1097-0142(197207)30:1<14::aid-cncr2820300104>3.0.co;2-9. [DOI] [PubMed] [Google Scholar]
  15. Kawai T., Yakumaru K., Suzuki M., Kageyama K. Diffuse interstitial pulmonary fibrosis and lung cancer. Acta Pathol Jpn. 1987 Jan;37(1):11–19. doi: 10.1111/j.1440-1827.1987.tb03130.x. [DOI] [PubMed] [Google Scholar]
  16. Kipen H. M., Lilis R., Suzuki Y., Valciukas J. A., Selikoff I. J. Pulmonary fibrosis in asbestos insulation workers with lung cancer: a radiological and histopathological evaluation. Br J Ind Med. 1987 Feb;44(2):96–100. doi: 10.1136/oem.44.2.96. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Koo L. C., Ho J. H. Worldwide epidemiological patterns of lung cancer in nonsmokers. Int J Epidemiol. 1990;19 (Suppl 1):S14–S23. doi: 10.1093/ije/19.supplement_1.s14. [DOI] [PubMed] [Google Scholar]
  18. Liddell F. D., McDonald J. C. Radiological findings as predictors of mortality in Quebec asbestos workers. Br J Ind Med. 1980 Aug;37(3):257–267. doi: 10.1136/oem.37.3.257. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Linnoila I. Pathology of non-small cell lung cancer. New diagnostic approaches. Hematol Oncol Clin North Am. 1990 Dec;4(6):1027–1051. [PubMed] [Google Scholar]
  20. Lubin J. H., Blot W. J. Assessment of lung cancer risk factors by histologic category. J Natl Cancer Inst. 1984 Aug;73(2):383–389. doi: 10.1093/jnci/73.2.383. [DOI] [PubMed] [Google Scholar]
  21. Nakanishi K. Alveolar epithelial hyperplasia and adenocarcinoma of the lung. Arch Pathol Lab Med. 1990 Apr;114(4):363–368. [PubMed] [Google Scholar]
  22. Sluis-Cremer G. K., Bezuidenhout B. N. Relation between asbestosis and bronchial cancer in amphibole asbestos miners. Br J Ind Med. 1989 Aug;46(8):537–540. doi: 10.1136/oem.46.8.537. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Sobue T., Suzuki T., Horai T., Matsuda M., Fujimoto I. Relationship between cigarette smoking and histologic type of lung cancer, with special reference to sex difference. Jpn J Clin Oncol. 1988 Mar;18(1):3–13. doi: 10.1093/jjco/18.1.3. [DOI] [PubMed] [Google Scholar]
  24. Vena J. E., Byers T. E., Cookfair D., Swanson M. Occupation and lung cancer risk. An analysis by histologic subtypes. Cancer. 1985 Aug 15;56(4):910–917. doi: 10.1002/1097-0142(19850815)56:4<910::aid-cncr2820560436>3.0.co;2-4. [DOI] [PubMed] [Google Scholar]
  25. Warnock M. L., Churg A. M. Association of asbestos and bronchogenic carcinoma in a population with low asbestos exposure. Cancer. 1975 Apr;35(4):1236–1242. doi: 10.1002/1097-0142(197504)35:4<1236::aid-cncr2820350431>3.0.co;2-5. [DOI] [PubMed] [Google Scholar]
  26. Weiss W. Lobe of origin in the attribution of lung cancer to asbestos. Br J Ind Med. 1988 Aug;45(8):544–547. doi: 10.1136/oem.45.8.544. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Whitwell F., Newhouse M. L., Bennett D. R. A study of the histological cell types of lung cancer in workers suffering from asbestosis in the United Kingdom. Br J Ind Med. 1974 Oct;31(4):298–303. doi: 10.1136/oem.31.4.298. [DOI] [PMC free article] [PubMed] [Google Scholar]

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