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. 1996 Dec;104(Suppl 6):1393–1398. doi: 10.1289/ehp.961041393

Does benzene cause multiple myeloma? An analysis of the published case-control literature.

S Bezabeh 1, A Engel 1, C B Morris 1, S H Lamm 1
PMCID: PMC1469740  PMID: 9118925

Abstract

Two case series and two epidemiological studies in the 1970s and 1980s suggested that benzene exposure might be a risk factor for multiple myeloma. An analysis has now been conducted of the published population-based and hospital-based case-control studies published through mid-1995 that permit examination of the relationship between multiple myeloma and benzene exposure or surrogates for benzene exposure. No increased association was found between multiple myeloma and benzene exposure or exposure to chemical groups that included benzene. The odds ratios from these analyses approximated 1.0. Exposures to petroleum products and employment in petroleum-related occupations did not appear to be risk factors for multiple myeloma. Cigarette smoking, as a surrogate of benzene exposure, was not found to be associated with myeloma, while some studies of products of combustion described as "engine exhaust" did show a significant association with multiple myeloma. In toto, the population-based and hospital-based case-control literature indicated that benzene exposure was not a likely causal factor for multiple myeloma.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aksoy M., Erdem S., Dinçol G., Kutlar A., Bakioğlu I., Hepyüksel T. Clinical observations showing the role of some factors in the etiology of multiple myeloma. A study in 7 patients. Acta Haematol. 1984;71(2):116–120. doi: 10.1159/000206568. [DOI] [PubMed] [Google Scholar]
  2. Boffetta P., Stellman S. D., Garfinkel L. A case-control study of multiple myeloma nested in the American Cancer Society prospective study. Int J Cancer. 1989 Apr 15;43(4):554–559. doi: 10.1002/ijc.2910430404. [DOI] [PubMed] [Google Scholar]
  3. Brownson R. C. Cigarette smoking and risk of myeloma. J Natl Cancer Inst. 1991 Jul 17;83(14):1036–1037. doi: 10.1093/jnci/83.14.1036. [DOI] [PubMed] [Google Scholar]
  4. Cuzick J., De Stavola B. Multiple myeloma--a case-control study. Br J Cancer. 1988 May;57(5):516–520. doi: 10.1038/bjc.1988.118. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Decouflé P., Blattner W. A., Blair A. Mortality among chemical workers exposed to benzene and other agents. Environ Res. 1983 Feb;30(1):16–25. doi: 10.1016/0013-9351(83)90161-5. [DOI] [PubMed] [Google Scholar]
  6. Demers P. A., Vaughan T. L., Koepsell T. D., Lyon J. L., Swanson G. M., Greenberg R. S., Weiss N. S. A case-control study of multiple myeloma and occupation. Am J Ind Med. 1993 Apr;23(4):629–639. doi: 10.1002/ajim.4700230410. [DOI] [PubMed] [Google Scholar]
  7. Eriksson M., Karlsson M. Occupational and other environmental factors and multiple myeloma: a population based case-control study. Br J Ind Med. 1992 Feb;49(2):95–103. doi: 10.1136/oem.49.2.95. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Figgs L. W., Dosemeci M., Blair A. Risk of multiple myeloma by occupation and industry among men and women: a 24-state death certificate study. J Occup Med. 1994 Nov;36(11):1210–1221. doi: 10.1097/00043764-199411000-00007. [DOI] [PubMed] [Google Scholar]
  9. Flodin U., Fredriksson M., Persson B. Multiple myeloma and engine exhausts, fresh wood, and creosote: a case-referent study. Am J Ind Med. 1987;12(5):519–529. doi: 10.1002/ajim.4700120506. [DOI] [PubMed] [Google Scholar]
  10. Friedman G. D. Cigarette smoking, leukemia, and multiple myeloma. Ann Epidemiol. 1993 Jul;3(4):425–428. doi: 10.1016/1047-2797(93)90071-b. [DOI] [PubMed] [Google Scholar]
  11. Gallagher R. P., Spinelli J. J., Elwood J. M., Skippen D. H. Allergies and agricultural exposure as risk factors for multiple myeloma. Br J Cancer. 1983 Dec;48(6):853–857. doi: 10.1038/bjc.1983.277. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Giles G. G., Lickiss J. N., Baikie M. J., Lowenthal R. M., Panton J. Myeloproliferative and lymphoproliferative disorders in Tasmania, 1972-80: occupational and familial aspects. J Natl Cancer Inst. 1984 Jun;72(6):1233–1240. [PubMed] [Google Scholar]
  13. Goldstein B. D. Is exposure to benzene a cause of human multiple myeloma? Ann N Y Acad Sci. 1990;609:225–234. doi: 10.1111/j.1749-6632.1990.tb32070.x. [DOI] [PubMed] [Google Scholar]
  14. Heineman E. F., Olsen J. H., Pottern L. M., Gomez M., Raffn E., Blair A. Occupational risk factors for multiple myeloma among Danish men. Cancer Causes Control. 1992 Nov;3(6):555–568. doi: 10.1007/BF00052753. [DOI] [PubMed] [Google Scholar]
  15. Heineman E. F., Zahm S. H., McLaughlin J. K., Vaught J. B., Hrubec Z. A prospective study of tobacco use and multiple myeloma: evidence against an association. Cancer Causes Control. 1992 Jan;3(1):31–36. doi: 10.1007/BF00051909. [DOI] [PubMed] [Google Scholar]
  16. La Vecchia C., Negri E., D'Avanzo B., Franceschi S. Occupation and lymphoid neoplasms. Br J Cancer. 1989 Sep;60(3):385–388. doi: 10.1038/bjc.1989.290. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Lamm S. H., Walters A. S., Wilson R., Byrd D. M., Grunwald H. Consistencies and inconsistencies underlying the quantitative assessment of leukemia risk from benzene exposure. Environ Health Perspect. 1989 Jul;82:289–297. doi: 10.1289/ehp.8982289. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Linet M. S., Harlow S. D., McLaughlin J. K. A case-control study of multiple myeloma in whites: chronic antigenic stimulation, occupation, and drug use. Cancer Res. 1987 Jun 1;47(11):2978–2981. [PubMed] [Google Scholar]
  19. Linet M. S., McLaughlin J. K., Hsing A. W., Wacholder S., Co Chien H. T., Schuman L. M., Bjelke E., Blot W. J. Is cigarette smoking a risk factor for non-Hodgkin's lymphoma or multiple myeloma? Results from the Lutheran Brotherhood Cohort Study. Leuk Res. 1992 Jun-Jul;16(6-7):621–624. doi: 10.1016/0145-2126(92)90011-u. [DOI] [PubMed] [Google Scholar]
  20. McLaughlin J. K., Malker H. S., Linet M. S., Ericsson J., Stone B. J., Weiner J., Blot W. J., Fraumeni J. F., Jr Multiple myeloma and occupation in Sweden. Arch Environ Health. 1988 Jan-Feb;43(1):7–10. doi: 10.1080/00039896.1988.9934365. [DOI] [PubMed] [Google Scholar]
  21. Mills P. K., Newell G. R., Beeson W. L., Fraser G. E., Phillips R. L. History of cigarette smoking and risk of leukemia and myeloma: results from the Adventist health study. J Natl Cancer Inst. 1990 Dec 5;82(23):1832–1836. doi: 10.1093/jnci/82.23.1832. [DOI] [PubMed] [Google Scholar]
  22. Morris P. D., Koepsell T. D., Daling J. R., Taylor J. W., Lyon J. L., Swanson G. M., Child M., Weiss N. S. Toxic substance exposure and multiple myeloma: a case-control study. J Natl Cancer Inst. 1986 Jun;76(6):987–994. [PubMed] [Google Scholar]
  23. Paxton M. B., Chinchilli V. M., Brett S. M., Rodricks J. V. Leukemia risk associated with benzene exposure in the pliofilm cohort: I. Mortality update and exposure distribution. Risk Anal. 1994 Apr;14(2):147–154. doi: 10.1111/j.1539-6924.1994.tb00039.x. [DOI] [PubMed] [Google Scholar]
  24. Pottern L. M., Heineman E. F., Olsen J. H., Raffn E., Blair A. Multiple myeloma among Danish women: employment history and workplace exposures. Cancer Causes Control. 1992 Sep;3(5):427–432. doi: 10.1007/BF00051355. [DOI] [PubMed] [Google Scholar]
  25. Rinsky R. A., Smith A. B., Hornung R., Filloon T. G., Young R. J., Okun A. H., Landrigan P. J. Benzene and leukemia. An epidemiologic risk assessment. N Engl J Med. 1987 Apr 23;316(17):1044–1050. doi: 10.1056/NEJM198704233161702. [DOI] [PubMed] [Google Scholar]
  26. Torres A., Giralt M., Raichs A. Coexistencia de antecedentes benzólicos crónicos y plasmocitoma múltiple. Presentación de dos casos. Sangre (Barc) 1970;15(2):275–279. [PubMed] [Google Scholar]
  27. Williams R. R., Horm J. W. Association of cancer sites with tobacco and alcohol consumption and socioeconomic status of patients: interview study from the Third National Cancer Survey. J Natl Cancer Inst. 1977 Mar;58(3):525–547. doi: 10.1093/jnci/58.3.525. [DOI] [PubMed] [Google Scholar]

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