TABLE 1.
Fibre analyses at surgery and autopsy in comparison with corresponding time intervals to exposure cessation
Patient | Years from last exposure to surgery |
Max AB/g FW surgery |
Years from last exposure to autopsy |
Max AB/g FW autopsy |
Years from surgery to autopsy | Fibre type (% chrysotile) FE-SEM | Fibre type (% chrysotile) TEM |
1 | 10 | 1900 | 24 | 714 | 14 | 10% | 15% |
2 | 9 | 1281# | 30 | 27921 | 21 | 35% | 30% |
3 | >6 | 431 | >14 | 800 | 8 | 80% | 70% |
4 | 20 | 1167 | 24 | 5347 | 4 | 95% | 90% |
5 | >3 | 2435 | >11 | 3190 | 8 | ND | ND |
6 | >7 | 605 | >13 | 1682 | 6 | ND | ND |
7 | 9 | 4528 | 16 | 5612 | 7 | ND | ND |
8 | 9 | 6433 | 16 | 39121 | 7 | ND | ND |
9 | >12 | 9750 | >20 | 53663 | 8 | ND | ND |
10 | 24 | 1346 | 33 | 1269 | 9 | ND | ND |
11 | 20 | 3.4¶ | 33 | 1863 | 13 | 80% | 67% |
12 | 29 | 10.3¶ | 37 | 165347 | 8 | 85% | 90% |
Median | ∼9.5 | 1623 | ∼22 | 4269 | 8 | 80% | 69% |
Mean | 2988 | 25544 |
Occupational histories were obtained from clinicians or insurance. Approximations are indicated by > (greater) if exact data are missing. In these cases exposure cessation was assumed to retirement age or the asbestos ban in Europe 1993 respectively as the latest. The actual end might have been earlier. Time intervals are also shown in figure 2, fibre analysis results referring to their corresponding time interval are illustrated in figure 3. Here only the highest asbestos body count from each patient is given. See supplementary material for details. Amphibole and chrysotile fibres were detected by energy-dispersive X-ray analysis for their elemental composition; here the percentage of chrysotile fibres is given after FE-SEM and TEM analysis. #: tissue with active tuberculosis, thus fibre count may be underestimated. ¶: Patients without lung tissue; values represent asbestos bodies per mL of bronchoalveolar lavage (BAL) fluid and were not considered for the calculation of mean and medians of the asbestos fibre burden. Max: maximum; AB: asbestos bodies; FW: fresh weight; ND: not done.