Infante P F
Health Standards Program, Occupational Safety and Health Administration, Washington, DC 20210.
Environ Health Perspect. 1993 Dec;101 Suppl 6(Suppl 6):105-9. doi: 10.1289/ehp.93101s6105.
As a result of the content of benzene in various streams of refinery products, including gasoline, it is not surprising that over the years studies and case reports have linked gasoline exposure to lymphopoietic cancers (LPC), particularly leukemia and multiple myeloma (MM). Of three recently conducted studies of gasoline-exposed workers, one shows strong associations with leukemia and MM, a second suggests some association with leukemia and did not analyze data for MM, and the third study is not possible to evaluate because of a major problem with study design. Other diseases of particular interest in relation to gasoline exposure are kidney cancer, malignant melanoma, and heart disease. One study suggests an association with kidney cancer, but the second study did not. There appears to be no association between employment in refineries or gasoline exposure and heart disease. However, evaluation of risk of kidney cancer and heart disease is somewhat difficult because investigators did not control for cigarette smoking, even though it is related to these diseases. This is of particular concern when studying gasoline-exposed workers, who because of the explosive nature of gasoline probably smoke less than the general population used for comparison of mortality. Some studies of refinery workers and gasoline-exposed workers in particular show an excess risk of death from malignant melanoma. Whether this latter association is the result of benzene/gasoline exposure, sunlight exposure, or a combination of the two cannot be determined with the data currently available.(ABSTRACT TRUNCATED AT 250 WORDS)
由于炼油产品的各种流股(包括汽油)中含有苯,多年来研究和病例报告将接触汽油与淋巴造血系统癌症(LPC)联系起来,尤其是白血病和多发性骨髓瘤(MM),这并不奇怪。在最近对接触汽油工人进行的三项研究中,一项显示与白血病和MM有很强的关联,第二项表明与白血病有一定关联,但未分析MM的数据,第三项研究由于研究设计存在重大问题而无法评估。与接触汽油特别相关的其他疾病是肾癌、恶性黑色素瘤和心脏病。一项研究表明与肾癌有关联,但第二项研究未发现关联。炼油厂工作或接触汽油与心脏病之间似乎没有关联。然而,评估肾癌和心脏病的风险有点困难,因为研究人员没有控制吸烟情况,尽管吸烟与这些疾病有关。在研究接触汽油的工人时,这一点尤其令人担忧,因为由于汽油的易爆性质,这些工人的吸烟量可能比用于死亡率比较的普通人群要少。一些对炼油厂工人尤其是接触汽油工人的研究显示,恶性黑色素瘤导致的死亡风险过高。根据目前可得的数据,无法确定后一种关联是苯/汽油接触、阳光照射还是两者共同作用的结果。(摘要截短至250字)