Tavani Alessandra, Bosetti Cristina, Franceschi Silvia, Talamini Renato, Negri Eva, La Vecchia Carlo
Istituto di Ricerche Farmacologiche, Mario Negri, Milan, Italy.
Eur J Cancer Prev. 2006 Oct;15(5):453-7. doi: 10.1097/00008469-200610000-00011.
Individuals diagnosed with skin cancer have elevated risk of non-Hodgkin lymphoma, and those with non-Hodgkin lymphoma have excess rates of various types of skin cancers. Sunshine and other sources of ultraviolet radiation are major risk factors for skin cancer, and hence a potential common link between skin cancer and non-Hodgkin lymphoma. We analyzed the relationship between occupational exposure to ultraviolet radiation and the risk for non-Hodgkin lymphoma using data from a case-control study conducted in Northern Italy between 1985 and 1997. Cases were 446 patients with histologically confirmed incident non-Hodgkin lymphoma, and controls were 1295 patients admitted to hospital for acute non-neoplastic, non-immunological conditions. The multivariate odds ratios were computed after allowance for age, sex, area of residence, education and smoking. The odds ratio for patients reporting ever ultraviolet exposure at work was 1.01 (95% confidence interval 0.72-1.43) and 1.03 (95% confidence interval 0.72-1.49) for exposure longer than 10 years. The odds ratio was 1.09 for manual workers and 0.79 for farmers exposed to ultraviolet radiation, compared with those with other occupations not exposed to ultraviolet radiation. Our study found no association between occupational exposure to ultraviolet radiation and the risk of non-Hodgkin lymphoma.
被诊断患有皮肤癌的个体患非霍奇金淋巴瘤的风险升高,而患有非霍奇金淋巴瘤的个体患各种类型皮肤癌的几率也更高。阳光和其他紫外线辐射源是皮肤癌的主要风险因素,因此可能是皮肤癌和非霍奇金淋巴瘤之间的一个共同联系。我们利用1985年至1997年在意大利北部进行的一项病例对照研究的数据,分析了职业性紫外线辐射暴露与非霍奇金淋巴瘤风险之间的关系。病例为446例经组织学确诊的新发非霍奇金淋巴瘤患者,对照为1295例因急性非肿瘤性、非免疫性疾病入院的患者。在考虑年龄、性别、居住地区、教育程度和吸烟情况后计算多变量优势比。报告曾在工作中接触紫外线的患者的优势比为1.01(95%置信区间0.72 - 1.43),接触超过10年的患者的优势比为1.03(95%置信区间0.72 - 1.49)。与未接触紫外线的其他职业者相比,体力劳动者接触紫外线的优势比为1.09,农民接触紫外线的优势比为0.79。我们的研究未发现职业性紫外线辐射暴露与非霍奇金淋巴瘤风险之间存在关联。