Wright W E, Sherwin R P
Br J Ind Med. 1984 Nov;41(4):514-7. doi: 10.1136/oem.41.4.514.
The Los Angeles County Cancer Surveillance Program abstracts hospital pathology records on almost all cases of cancer occurring in the county. Those cases of pleural and peritoneal mesothelioma that occurred between 1972 and 1978 were identified. Occupational histories were obtained from interviews, and the histopathology of the tumours was reviewed by a member of a mesothelioma reference panel who was unaware of the exposure histories. The relation of asbestos exposure to the three histological types of mesothelioma (epithelial, mesenchymal, and mixed) was studied among the 29 cases for whom occupational histories were available and who were also considered to have histopathology consistent with mesothelioma. The proportion of cases exposed to asbestos was high for both the epithelial (11/17, 65%) and mixed histological types (6/11, 55%). The single case of mesothelioma classified as a mesenchymal type was also exposed to asbestos. Cases who had worked in shipyards were represented in each of the three groups. In cases who had worked in asbestos production and manufacture an exclusively epithelial type of tumour was observed. In cases who had worked as insulators or in heating trades the histological type was predominantly (3/4) mixed. These data do not support the hypothesis that any specific histological type of mesothelioma is especially related to asbestos exposure.
洛杉矶县癌症监测项目汇总了该县几乎所有癌症病例的医院病理记录。确定了1972年至1978年间发生的胸膜和腹膜间皮瘤病例。通过访谈获取职业史,由一名不了解接触史的间皮瘤参考小组成员对肿瘤的组织病理学进行复查。在29例有职业史且组织病理学也被认为与间皮瘤相符的病例中,研究了石棉接触与间皮瘤三种组织学类型(上皮型、间叶型和混合型)之间的关系。上皮型(11/17,65%)和混合型组织学类型(6/11,55%)中接触石棉的病例比例都很高。唯一一例被归类为间叶型的间皮瘤病例也接触过石棉。三组中均有曾在造船厂工作的病例。在曾从事石棉生产和制造工作的病例中,观察到的肿瘤类型均为上皮型。在曾从事绝缘工作或供暖行业的病例中,组织学类型主要为混合型(3/4)。这些数据并不支持任何特定组织学类型的间皮瘤与石棉接触特别相关这一假设。