Andersson E, Torén K
Department of Occupational Medicine, Sahlgrenska University Hospital, S:t Göteborg, Sweden.
Am J Ind Med. 1995 Apr;27(4):577-80. doi: 10.1002/ajim.4700270411.
The aim of this study was to estimate to what degree malignant pleural mesotheliomas were reported as occupational cancers. The study included all malignant pleural mesotheliomas (n = 210) found in the Cancer Registry 1980-1989 from four Swedish counties. Whether or not a case was reported as occupational cancer was found in the Swedish Register of Reported Occupational Diseases. To evaluate the presence of exposure histories, the chest department files for 58 mesotheliomas from one county were reviewed. The reporting was low, with only 75 mesotheliomas (36%) reported. All the cases were men, and for the men, the reporting frequency was 42%. The reporting was significantly lower for the last part of the decade than for the first part. The reporting frequency decreased with age. In the review of the chest department files, an exposure history was found in 93% of the reported cases and in 47% of the unreported cases. It is concluded that physicians must give more priority to exposure histories in patients with pleural mesotheliomas.
本研究的目的是评估恶性胸膜间皮瘤被报告为职业性癌症的程度。该研究纳入了1980年至1989年瑞典四个县癌症登记处发现的所有恶性胸膜间皮瘤病例（n = 210）。在瑞典职业病报告登记册中查找病例是否被报告为职业性癌症。为评估暴露史的存在情况，查阅了一个县58例间皮瘤患者的胸科病历档案。报告率较低，仅报告了75例间皮瘤（36%）。所有病例均为男性，男性的报告频率为42%。该十年后半期的报告率明显低于前半期。报告频率随年龄增长而降低。在胸科病历档案审查中，93%的报告病例和47%的未报告病例有暴露史。结论是，医生必须更加重视胸膜间皮瘤患者的暴露史。
