Johnson E S
Environmental and Molecular Epidemiology Section, National Institute of Environmental Health Research Triangle Park, NC 27709.
Crit Rev Toxicol. 1991;21(6):451-63. doi: 10.3109/10408449209089883.
Most of the evidence for the carcinogenicity of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) in humans has centered around whether it causes malignant lymphomas (ML) and soft-tissue sarcomas (STS). A critical review of the literature indicates that the evidence does not support a causal role for TCDD in the etiology of ML. For STS, the evidence does not specifically incriminate TCDD either, although there is room for doubt. Cancers of other sites, particularly of the respiratory system and thyroid which were found to be statistically significantly in excess in either of the two largest studies of combined cohorts of occupationally exposed workers, were identified as candidate tumors for which a possible etiological role of TCDD might need investigation in future studies.
关于2,3,7,8-四氯二苯并对二恶英(TCDD)对人类致癌性的大部分证据都集中在它是否会引发恶性淋巴瘤(ML)和软组织肉瘤(STS)上。对文献的严格审查表明,证据并不支持TCDD在ML病因中起因果作用。对于STS,证据也没有明确将TCDD认定为病因,尽管存在疑问空间。在两项针对职业暴露工人联合队列的最大规模研究中,发现其他部位的癌症,特别是呼吸系统和甲状腺的癌症在统计学上显著超标,这些被确定为候选肿瘤,未来研究可能需要调查TCDD在其病因中可能发挥的作用。