Swerdlow A J, Skeet R G
University of Glasgow Department of Community Medicine, Ruchill Hospital, UK.
Br J Ind Med. 1988 Apr;45(4):225-30. doi: 10.1136/oem.45.4.225.
The relation of occupation to the risk of testicular cancer was investigated in a case-control study using data from the files of the South Thames Cancer Registry. Risks by age and histology subdivisions of the tumour were investigated since there is epidemiological evidence of differences in aetiology between these subdivisions but no previous systematic study of occupational risks by age and histology. Analyses were conducted comparing 1605 cases of testicular cancer incident in the region during 1958-77 with 7187 controls selected from other cancers incident in men in the region during the same period. The greatest risks of testicular cancer overall were for administrators and managers, sales workers, professional and allied workers, electrical workers, and clerical workers; these occupations were generally also at high risk of subdivisions of the tumour age and histology. Risk of testicular cancer overall and in each age and histology subgroup was greater in men of high than of low occupation based social class. Occupations with high risk of testicular cancer for their social class are of particular interest for further investigation of possible occupational risk factors; occupations with this characteristic for testicular cancer overall or in subdivisions in the present and some previous data are farmers, electrical workers, and paper and printing workers.
利用南泰晤士癌症登记处档案中的数据,在一项病例对照研究中调查了职业与睾丸癌风险之间的关系。由于有流行病学证据表明肿瘤的年龄和组织学亚组在病因学上存在差异,但此前尚无按年龄和组织学对职业风险进行的系统研究,因此对肿瘤的年龄和组织学亚组的风险进行了调查。分析比较了1958年至1977年该地区1605例睾丸癌新发病例与同期从该地区男性其他癌症新发病例中选取的7187名对照。总体而言,睾丸癌风险最高的职业是行政管理人员、销售人员、专业及相关人员、电工和文职人员;这些职业在肿瘤的年龄和组织学亚组中通常也处于高风险。在基于职业的社会阶层较高的男性中,总体以及各年龄和组织学亚组的睾丸癌风险高于社会阶层较低的男性。就其社会阶层而言,睾丸癌风险较高的职业对于进一步调查可能的职业风险因素特别有意义;在目前和一些既往数据中,总体或亚组具有这种睾丸癌特征的职业是农民、电工以及造纸和印刷工人。