Karjalainen S, Kerttula R, Pukkala E
Finnish Cancer Registry, Helsinki.
Int Arch Occup Environ Health. 1992;63(8):547-51. doi: 10.1007/BF00386344.
A total of 1,388 workers employed for at least 3 months at a copper/nickel smelter and nickel refinery were followed up for cancer from 1953 to 1987 through the Finnish Cancer Registry. There were 1,339 male and 49 female workers, making a total of 27,130 and 706 person-years, respectively. All of the women worked in the refinery, which opened in 1960, the same year the smelting of nickel began. A total of 67 cancers were diagnosed among the men, the standardized incidence ratio for all cancers being 1.0. No cancer was found among the women (1.8 expected). The risk of cancer among men was analysed according to primary site, exposure to nickel, type of work, years since first exposure and age at diagnosis. In the subcohort of nickel refinery workers, one case of sinonasal cancer was observed, against 0.02 expected, but otherwise no significantly increased risks of cancer were found. In addition to the small size of the cohort, the non-positive finding concerning lung cancer might be related to the relatively low arsenic exposure and, perhaps, to the late commencement of nickel production.
1953年至1987年期间,通过芬兰癌症登记处对1388名在铜/镍冶炼厂和镍精炼厂工作至少3个月的工人进行了癌症随访。其中男性工人1339名,女性工人49名,分别累计27130人年和706人年。所有女性都在1960年开业的精炼厂工作,同年开始镍的冶炼。男性中总共诊断出67例癌症,所有癌症的标准化发病率为1.0。女性中未发现癌症(预期为1.8例)。根据原发部位、镍暴露情况、工作类型、首次暴露后的年限以及诊断时的年龄,对男性的癌症风险进行了分析。在镍精炼厂工人亚组中,观察到1例鼻窦癌,预期为0.02例,但未发现其他癌症风险显著增加。除了队列规模较小外,肺癌方面的阴性结果可能与相对较低的砷暴露以及镍生产开始较晚有关。