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British Journal of Cancer logoLink to British Journal of Cancer
. 1984 Sep;50(3):389–397. doi: 10.1038/bjc.1984.188

Aetiological aspects on primary liver cancer with special regard to alcohol, organic solvents and acute intermittent porphyria--an epidemiological investigation.

L Hardell, N O Bengtsson, U Jonsson, S Eriksson, L G Larsson
PMCID: PMC1976799  PMID: 6087869

Abstract

Some environmental factors of possible aetiological importance for primary liver carcinoma (PLC) in males were analysed in a case-control study including 83 cases of hepatocellular carcinoma (HCC), 15 cases of intrahepatic cholangiocellular carcinoma (CC), 3 cases of haemangiosarcoma and 1 case of unspecified sarcoma in the liver--102 cases in total. Two matched controls were used in each case. One case with haemangiosarcoma was exposed to polyvinyl chloride. The case with unspecified soft-tissue sarcoma was exposed to phenoxy acids. A 4-fold increase in the risk of HCC was seen in alcoholics, and regular drinking gave a 3-fold increase in the risk. Exposure to organic solvents gave a 2-fold increase in the risk of HCC. No increased risk was observed for cases exposed to various other chemicals. Three cases of HCC had a previous diagnosis of porphyria acuta intermittens (PAI), versus no control. Six cases of HCC had a previous diagnosis of porphyria acuta intermittens (PAI), versus no control. Six cases with PLC had polyphyria cutanea tarda (PCT) which in 4 cases was related to alcoholism and in one case to haemochromatosis.

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Selected References

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  1. Bréchot C., Nalpas B., Couroucé A. M., Duhamel G., Callard P., Carnot F., Tiollais P., Berthelot P. Evidence that hepatitis B virus has a role in liver-cell carcinoma in alcoholic liver disease. N Engl J Med. 1982 Jun 10;306(23):1384–1387. doi: 10.1056/NEJM198206103062302. [DOI] [PubMed] [Google Scholar]
  2. Cady B. Natural history of primary and secondary tumors of the liver. Semin Oncol. 1983 Jun;10(2):127–134. [PubMed] [Google Scholar]
  3. Creech J. L., Jr, Johnson M. N. Angiosarcoma of liver in the manufacture of polyvinyl chloride. J Occup Med. 1974 Mar;16(3):150–151. [PubMed] [Google Scholar]
  4. Eriksson M., Hardell L., Berg N. O., Möller T., Axelson O. Soft-tissue sarcomas and exposure to chemical substances: a case-referent study. Br J Ind Med. 1981 Feb;38(1):27–33. doi: 10.1136/oem.38.1.27. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hardell L. Relation of soft-tissue sarcoma, malignant lymphoma and colon cancer to phenoxy acids, chlorophenols and other agents. Scand J Work Environ Health. 1981 Jun;7(2):119–130. doi: 10.5271/sjweh.2557. [DOI] [PubMed] [Google Scholar]
  6. Hardell L., Sandström A. Case-control study: soft-tissue sarcomas and exposure to phenoxyacetic acids or chlorophenols. Br J Cancer. 1979 Jun;39(6):711–717. doi: 10.1038/bjc.1979.125. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Kociba R. J., Keyes D. G., Beyer J. E., Carreon R. M., Wade C. E., Dittenber D. A., Kalnins R. P., Frauson L. E., Park C. N., Barnard S. D. Results of a two-year chronic toxicity and oncogenicity study of 2,3,7,8-tetrachlorodibenzo-p-dioxin in rats. Toxicol Appl Pharmacol. 1978 Nov;46(2):279–303. doi: 10.1016/0041-008x(78)90075-3. [DOI] [PubMed] [Google Scholar]
  8. Lam K. C., Yu M. C., Leung J. W., Henderson B. E. Hepatitis B virus and cigarette smoking: risk factors for hepatocellular carcinoma in Hong Kong. Cancer Res. 1982 Dec;42(12):5246–5248. [PubMed] [Google Scholar]
  9. Linsell C. A., Peers F. G. Aflatoxin and liver cell cancer. Trans R Soc Trop Med Hyg. 1977;71(6):471–473. doi: 10.1016/0035-9203(77)90136-5. [DOI] [PubMed] [Google Scholar]
  10. MANTEL N., HAENSZEL W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959 Apr;22(4):719–748. [PubMed] [Google Scholar]
  11. Miettinen O. S. Components of the crude risk ratio. Am J Epidemiol. 1972 Aug;96(2):168–172. doi: 10.1093/oxfordjournals.aje.a121443. [DOI] [PubMed] [Google Scholar]
  12. Miettinen O. S. Standardization of risk ratios. Am J Epidemiol. 1972 Dec;96(6):383–388. doi: 10.1093/oxfordjournals.aje.a121470. [DOI] [PubMed] [Google Scholar]
  13. Miettinen O. Estimability and estimation in case-referent studies. Am J Epidemiol. 1976 Feb;103(2):226–235. doi: 10.1093/oxfordjournals.aje.a112220. [DOI] [PubMed] [Google Scholar]
  14. Nagasue N. The epidemiology and etiology of primary liver cancer: a current trend. Fukuoka Igaku Zasshi. 1982 Jun;73(6):281–295. [PubMed] [Google Scholar]
  15. Okuda K., Kubo Y., Okazaki N., Arishima T., Hashimoto M. Clinical aspects of intrahepatic bile duct carcinoma including hilar carcinoma: a study of 57 autopsy-proven cases. Cancer. 1977 Jan;39(1):232–246. doi: 10.1002/1097-0142(197701)39:1<232::aid-cncr2820390137>3.0.co;2-y. [DOI] [PubMed] [Google Scholar]
  16. Pershagen G., Axelson O. A validation of questionnaire information on occupational exposure and smoking. Scand J Work Environ Health. 1982 Mar;8(1):24–28. doi: 10.5271/sjweh.2500. [DOI] [PubMed] [Google Scholar]
  17. Popper H. Hepatic cancers in man: quantitative perspectives. Environ Res. 1979 Aug;19(2):482–494. doi: 10.1016/0013-9351(79)90072-0. [DOI] [PubMed] [Google Scholar]
  18. Sherlock S. Hepatic reactions to drugs. Gut. 1979 Jul;20(7):634–648. doi: 10.1136/gut.20.7.634. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Solis J. A., Betancor P., Campos R., Enriquez de Salamanca R. E., Rojo P., Marin I., Schüller A. Association of porphyria cutanea tarda and primary liver cancer: report of ten cases. J Dermatol. 1982 Apr;9(2):131–137. doi: 10.1111/j.1346-8138.1982.tb02614.x. [DOI] [PubMed] [Google Scholar]
  20. Stemhagen A., Slade J., Altman R., Bill J. Occupational risk factors and liver cancer. A retrospective case-control study of primary liver cancer in New Jersey. Am J Epidemiol. 1983 Apr;117(4):443–454. doi: 10.1093/oxfordjournals.aje.a113562. [DOI] [PubMed] [Google Scholar]
  21. Tabor E., Gerety R. J., Vogel C. L., Bayley A. C., Anthony P. P., Chan C. H., Barker L. F. Hepatitis B virus infection and primary hepatocellular carcinoma. J Natl Cancer Inst. 1977 May;58(5):1197–1200. doi: 10.1093/jnci/58.5.1197. [DOI] [PubMed] [Google Scholar]
  22. Trichopoulos D., MacMahon B., Sparros L., Merikas G. Smoking and hepatitis B-negative primary hepatocellular carcinoma. J Natl Cancer Inst. 1980 Jul;65(1):111–114. [PubMed] [Google Scholar]
  23. Trichopoulos D., Tabor E., Gerety R. J., Xirouchaki E., Sparros L., Munoz N., Linsell C. A. Hepatitis B and primary hepatocellular carcinoma in a European population. Lancet. 1978 Dec 9;2(8102):1217–1219. doi: 10.1016/s0140-6736(78)92097-4. [DOI] [PubMed] [Google Scholar]
  24. Trichopoulos D. The causes of primary hepatocellular carcinoma in Greece. Prog Med Virol. 1981;27:14–25. [PubMed] [Google Scholar]

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