Sartor Sergio Guerra, Eluf-Neto José, Travier Noemie, Wünsch Filho Victor, Arcuri Arline Sydneia Abel, Kowalski Luís Paulo, Boffetta Paolo
Faculdade de Medicina, Universidade de São Paulo, Av. Dr. Arnaldo 455, São Paulo, SP 01246-903, Brazil.
Cad Saude Publica. 2007 Jun;23(6):1473-81. doi: 10.1590/s0102-311x2007000600022.
The most solidly established risk factors for laryngeal cancer are tobacco and alcohol. As for occupational factors, the only established carcinogen is exposure to strong inorganic acid mists. However, asbestos, pesticides, paints, gasoline, diesel engine emissions, dusts, and other factors have been reported in the literature as occupational agents that increase the risk of laryngeal cancer. A hospital-based case-control study was conducted to investigate occupational risk factors for laryngeal cancer. Detailed data on smoking, alcohol consumption, and occupational history were collected for 122 laryngeal cancers and 187 controls matched by frequency (according to sex and age). Laryngeal cancer was associated with exposure to respirable free crystalline silica (OR = 1.83; 95%CI: 1.00-3.36), soot (from coal, coke, fuel oil, or wood) (odds ratio - OR = 1.78; 95% confidence interval - 95%CI: 1.03-3.03), fumes (OR = 2.55; 95%CI: 1.14-5.67), and live animals (OR = 1.80; 95%CI: 1.02-3.19).
喉癌最确凿的风险因素是烟草和酒精。至于职业因素,唯一已确定的致癌物是接触强无机酸雾。然而,文献报道石棉、农药、油漆、汽油、柴油发动机排放物、粉尘及其他因素是增加喉癌风险的职业因素。开展了一项基于医院的病例对照研究,以调查喉癌的职业风险因素。收集了122例喉癌患者及187例按频率(根据性别和年龄)匹配的对照的吸烟、饮酒及职业史的详细数据。喉癌与接触可吸入的游离结晶二氧化硅(比值比 - OR = 1.83;95%置信区间 - 95%CI:1.00 - 3.36)、煤烟(来自煤、焦炭、燃料油或木材)(比值比 - OR = 1.78;95%置信区间 - 95%CI:1.03 - 3.03)、烟雾(OR = 2.55;95%CI:1.14 - 5.67)及活体动物(OR = 1.80;95%CI:1.02 - 3.19)有关。