Persson B
Department of Occupational and Environmental Medicine, University Hospital Linköping, Sweden.
Int J Occup Med Environ Health. 1996;9(4):309-21.
The incidence of malignant lymphoma, especially non-Hodgkin's lymphoma has increased over the last few decades. This statement is true despite the fact that methods for diagnosing malignant lymphoma have changed and misclassification has become a problem. The present review is mainly concerned with occupational aspects of malignant lymphoma. Several subsequent studies have dealt with malignant lymphoma among woodworkers and pulp and paper mill workers pointing to increased risks. Exposure to phenoxy herbicides have provided reasonable evidence to be connected with an increased risk of non-Hodgkin's lymphoma, whereas there is limited information regarding Hodgkin's disease. The relationship between solvent exposure and malignant lymphoma has been observed in a great number of studies. It is, however, still hard to identify specific solvent compounds responsible for the increased risk. Other occupational exposures i.e. wood preservatives, welding, asbestos, hair dyes and exposure to animal viruses among meatworkers and veterinarians have also been studied in relation to malignant lymphoma. This review shows that occupational factors, especially exposure to solvents and phenoxy herbicides and also to wood, play a role in the epidemiology of malignant lymphoma.
在过去几十年中,恶性淋巴瘤,尤其是非霍奇金淋巴瘤的发病率有所上升。尽管诊断恶性淋巴瘤的方法发生了变化,且错误分类已成为一个问题,但这一说法依然成立。本综述主要关注恶性淋巴瘤的职业相关方面。随后的几项研究涉及木工以及纸浆和造纸厂工人中的恶性淋巴瘤,指出患病风险有所增加。接触苯氧基除草剂已提供了合理证据,表明其与非霍奇金淋巴瘤风险增加有关,而关于霍奇金病的信息有限。大量研究观察到了溶剂接触与恶性淋巴瘤之间的关系。然而,仍难以确定导致风险增加的具体溶剂化合物。其他职业暴露,即木材防腐剂、焊接、石棉、染发剂,以及肉类加工工人和兽医接触动物病毒等,也已针对恶性淋巴瘤进行了研究。本综述表明,职业因素,尤其是接触溶剂、苯氧基除草剂以及木材,在恶性淋巴瘤的流行病学中发挥着作用。