Kannerstein M, Churg J
Environ Health Perspect. 1980 Feb;34:31-6. doi: 10.1289/ehp.803431.
Asbestos has been established as the cause of most cases of diffuse malignant mesothelioma occurring in the industrialized world. The morphology of mesothelioma may be complex, and the employment of chemical, histochemical and ultrastructural studies are often helpful in identification. Diagnostic difficulties may to some degree blur the extent of its prevalence and reliance on exposure history may not reveal its association with asbestos. Reference panels can be useful in assessing the former and analysis of lung tissue asbestos content may help to clarify the latter, especially in the low dose range. Electron microscopy may prove to be of assistance in this respect, possibly with particular attention to the peripheral areas of the lung. Animal experimentation has supported epidemiologic conclusions and revealed the phenomenon of fiber carcinogenesis. The morphology of mesothelioma in experimental animals is very similar to that in humans, including ultrastructural and biochemical features.
在工业化国家,石棉已被确认为大多数弥漫性恶性间皮瘤病例的病因。间皮瘤的形态可能很复杂,化学、组织化学和超微结构研究通常有助于其识别。诊断困难在一定程度上可能会掩盖其流行程度,而仅依靠接触史可能无法揭示其与石棉的关联。参考标准有助于评估前者,分析肺组织中的石棉含量可能有助于阐明后者,特别是在低剂量范围内。在这方面,电子显微镜检查可能会有所帮助,或许尤其要关注肺的周边区域。动物实验支持了流行病学结论,并揭示了纤维致癌现象。实验动物中间皮瘤的形态与人类非常相似,包括超微结构和生化特征。