Ekpanyaskul Chatchai
Department of Preventive and Social Medicine, Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand.
Division of Multi/Interdisciplinary Studies, Graduate School, Srinakharinwirot University, Bangkok, Thailand.
Asian Pac J Cancer Prev. 2024 Dec 1;25(12):4465-4476. doi: 10.31557/APJCP.2024.25.12.4465.
Occupational cancer remains an ongoing and emerging issue in cancer prevention and control and is more easily preventable in practice than other causes. As of 2024, changes in various aspects, such as methods for estimating the burden of cancer, evidence on novel carcinogens and classification systems, modernization of working conditions, job characteristics, occupational exposure, and societal changes have played a significant role. Furthermore, advances in technology, including wearable devices, exposome, and biomedical technology, offer more precise methods for identifying the associations between occupational carcinogens and cancer. Diagnosing occupational cancer and investigating clusters are crucial for understanding its etiology. Prevention at every level- from primary to quarterly prevention- and promotional activities are crucial for exposed workers, often outweighing the importance of treatment, which can be costly. This updated information, as reviewed in this article, and cooperative work with occupational medicine physicians, could contribute to improving clinical practices for better cancer prevention and control.
职业性癌症仍然是癌症预防与控制中一个持续存在且不断出现的问题，在实际中比其他致癌原因更容易预防。截至2024年，癌症负担估计方法、新型致癌物证据和分类系统、工作条件现代化、工作特征、职业暴露以及社会变化等各方面的改变都发挥了重要作用。此外，包括可穿戴设备、暴露组学和生物医学技术在内的技术进步，为识别职业致癌物与癌症之间的关联提供了更精确的方法。诊断职业性癌症和调查聚集性病例对于了解其病因至关重要。从一级预防到三级预防的各级预防措施以及宣传活动，对于接触致癌物的工人至关重要，其重要性往往超过代价高昂的治疗。本文所综述的这些更新信息，以及与职业医学医生的合作，有助于改进临床实践，以更好地预防和控制癌症。
