Reddy Akhila, Conde Camila, Peterson Christopher, Nugent Kenneth
The School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
The Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Oncol Rev. 2022 Mar 14;16(1):558. doi: 10.4081/oncol.2022.558. eCollection 2022 Feb 22.
Radon is an established human lung carcinogen naturally released as an odorless, colorless gas from soil and rocks. It is a major environmental source of ionizing radiation and can cause oxidative damage to DNA, increasing the risk of lung cancer. Although the association between radon and lung cancer is well established, the association between radon and other cancers is not. Based on reported studies, there is no consistent evidence indicating an association between radon and non-solid and solid cancers, but limited literature, heterogenous study design, and confounding variables preclude definitive conclusions. More research is needed to evaluate the association between residential radon and non-lung cancers, particularly with regard to skin cancer, central nervous system (CNS) cancer, renal, and stomach cancer, in which existing literature suggests potential associations with residential radon may exist. However, the literature largely demonstrates that lung cancer is the primary concern associated with residential radon exposure; the lack of association with nonlung cancers could reflect the lack of studies which have an adequate sample size, establish accurate levels of radon exposure, and control for confounders. These results should be considered in residential radon mitigation efforts which should focus on smokers with high radon exposures.
氡是一种已被确认的人类肺癌致癌物,它是一种从土壤和岩石中自然释放出的无色无味气体。它是电离辐射的主要环境来源,可对DNA造成氧化损伤,增加患肺癌的风险。尽管氡与肺癌之间的关联已得到充分确立,但氡与其他癌症之间的关联尚未明确。根据已报道的研究,没有一致的证据表明氡与非实体癌和实体癌之间存在关联,但有限的文献、异质性的研究设计以及混杂变量使得无法得出明确结论。需要更多的研究来评估室内氡与非肺癌之间的关联,尤其是与皮肤癌、中枢神经系统(CNS)癌症、肾癌和胃癌相关的关联,现有文献表明这些癌症可能与室内氡存在潜在关联。然而,文献在很大程度上表明,肺癌是与室内氡暴露相关的主要问题;与非肺癌缺乏关联可能反映出缺乏样本量足够、确定准确的氡暴露水平并控制混杂因素的研究。在室内氡减排工作中应考虑这些结果,这些工作应聚焦于氡暴露水平高的吸烟者。