De Guire L, Theriault G, Iturra H, Provencher S, Cyr D, Case B W
Community Health Department of Sacré-Coeur Hospital, School of Occupational Health of McGill University, Montréal, Québec, Canada.
Br J Ind Med. 1988 Dec;45(12):824-8. doi: 10.1136/oem.45.12.824.
In 1982 physicians at a hospital melanoma clinic in Montreal noticed that among their patients there had been seven men working in a single telecommunications company. This raised suspicions that working in that industry might be associated with development of malignant melanoma of the skin (MMS). A preliminary gross comparison with general population rates indicated that there was an increased risk in this working group. To estimate the risk of MMS more accurately, a standardised incidence ratio (SIR) was calculated based on the rates of MMS in the local population of the Greater Metropolitan Montreal Area for the years 1976-83. During that period, among workers in all plants for the company, 10 male cases of MMS were observed for an expected number of 3.7 (SIR = 2.7; 95% CI = 1.31-5.02). No cases were observed among female workers (expected = 1.3). The excess was significant among cases with a short latency (less than 20 years since beginning of employment). There was no apparent pattern of exposure based on job titles or departments.
1982年,蒙特利尔一家医院黑色素瘤诊所的医生注意到,他们的患者中有7名男性就职于同一家电信公司。这引发了人们的怀疑,即在该行业工作可能与皮肤恶性黑色素瘤(MMS)的发生有关。与一般人群发病率的初步粗略比较表明,该工作群体的风险有所增加。为了更准确地估计MMS的风险,根据1976 - 1983年大蒙特利尔地区当地人群的MMS发病率计算了标准化发病率(SIR)。在此期间,在该公司所有工厂的工人中,观察到10例男性MMS病例,预期病例数为3.7(SIR = 2.7;95%置信区间 = 1.31 - 5.02)。在女性工人中未观察到病例(预期病例数 = 1.3)。在潜伏期较短(自开始工作起不到20年)的病例中,超额病例数显著。基于职位头衔或部门,没有明显的暴露模式。