Meurman L O, Pukkala E, Hakama M
University of Turku, Department of Pathology, Finland.
Occup Environ Med. 1994 Jun;51(6):421-5. doi: 10.1136/oem.51.6.421.
A cohort of 736 male and 167 female workers of two anthophyllite mines in Finland was followed up through the Finnish Cancer Registry for cancer in 1953-91. Compared with the total cancer incidence of the east Finnish population, the men had a raised risk of total cancer (standardised incidence ratio (SIR) 1.7; 95% confidence interval (95% CI) 1.4-1.9), mainly attributable to an excess in lung cancer (SIR 2.8; 95% CI 2.2-3.6). The risk of lung cancer was somewhat higher among workers classified as heavily exposed (SIR 3.2; 95% CI 2.4-4.1) than among those moderately exposed (SIR 2.3; 95% CI 1.5-3.6) and the risk increased with increasing smoking and with increasing time of work with exposure. There were four cases of mesothelioma v 0.1 expected, all in men who smoked and had had a long and heavy asbestos exposure. Among women, a non-significant excess in total cancer (SIR 1.5; 95% CI 0.9-2.4) was found in the subgroup with heavy exposure to asbestos. Anthophyllite asbestos seems to have high potency in the carcinogenesis of lung cancer and low potency in carcinogenesis of mesothelioma in comparison with the other types of asbestos.
1953年至1991年期间,通过芬兰癌症登记处对芬兰两座直闪石矿的736名男性和167名女性工人进行了癌症随访。与芬兰东部人群的总体癌症发病率相比,男性患总体癌症的风险有所增加(标准化发病率(SIR)为1.7;95%置信区间(95%CI)为1.4 - 1.9),主要归因于肺癌发病率过高(SIR为2.8;95%CI为2.2 - 3.6)。在被归类为高暴露的工人中,肺癌风险(SIR为3.2;95%CI为2.4 - 4.1)略高于中度暴露的工人(SIR为2.3;95%CI为1.5 - 3.6),且风险随着吸烟量增加以及接触工作时间延长而增加。有4例间皮瘤病例,预期为0.1例,均为吸烟且长期大量接触石棉的男性。在女性中,在重度接触石棉的亚组中发现总体癌症有不显著的增加(SIR为1.5;95%CI为0.9 - 2.4)。与其他类型的石棉相比,直闪石石棉似乎在肺癌致癌方面具有高效力,而在间皮瘤致癌方面效力较低。