Ahn Yeon-Soon, Jeong Kyoung Sook
Department of Occupational and Environmental Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.
J Korean Med Sci. 2014 Nov;29(11):1473-81. doi: 10.3346/jkms.2014.29.11.1473. Epub 2014 Nov 4.
An understanding of the characteristics of occupational lung cancer is important to establish policies that prevent carcinogen exposure and to compensate workers exposed to lung carcinogens. This study analyzed the characteristics of occupational lung cancers in workers who were compensated under the Industrial Accident Compensation Insurance Law between 1994 and 2011. A total of 179 occupational lung cancers were compensated. The main carcinogenic exposure was asbestos, followed by crystalline silica and hexavalent chromium. The mean exposure duration and latency were 19.8 and 23.2 yr. The most common industry was manufacturing, followed by construction and transportation. The most common occupation was maintenance and repair, followed by foundry work, welding, painting, and spinning or weaving. Although asbestos was predominant carcinogen, the proportion of these cases was relatively low compared to other developed countries. Proper surveillance system is needed to monitor occupational lung cancer and improve prevention measures.
了解职业性肺癌的特征对于制定预防致癌物暴露的政策以及补偿接触肺部致癌物的工人至关重要。本研究分析了1994年至2011年期间根据《工业事故赔偿保险法》获得赔偿的工人的职业性肺癌特征。共有179例职业性肺癌获得赔偿。主要致癌暴露物是石棉,其次是结晶硅石和六价铬。平均暴露持续时间和潜伏期分别为19.8年和23.2年。最常见的行业是制造业,其次是建筑业和运输业。最常见的职业是维护和修理,其次是铸造工作、焊接、喷漆以及纺织。尽管石棉是主要致癌物,但与其他发达国家相比,这些病例的比例相对较低。需要适当的监测系统来监测职业性肺癌并改进预防措施。