Asbestos Textile Production Linked to Malignant Peritoneal and Pleural Mesothelioma in Women: Analysis of 28 Cases in Southeast China

作者:Gao Zhibin; Hiroshima Kenzo*; Wu Xiaodong; Zhang Jixian; Shao Dichu; Shao Huajiang; Yang Hanqing; Yusa Toshikazu; Kiyokawa Takako; Kobayashi Makio; Shinohara Yasushi; Roe Oluf D; Zhang Xing; Morinaga Kenji
来源:American Journal of Industrial Medicine, 2015, 58(10): 1040-1049.
DOI:10.1002/ajim.22494

摘要

Background Chrysotile had been used in asbestos textile workshops in Southeast China but a clear relation to mesothelioma is lacking. Methods All patients diagnosed with mesothelioma from 2003 to 2010 at Yuyao People's Hospital were re-evaluated by multiple expert pathologists with immunohistochemistry and asbestos exposure data were collected. Results Of 43 patients with a mesothelioma diagnosis, 19 peritoneal and nine pleural cases were finally diagnosed as mesothelioma. All were females, and the mean age of the patients with peritoneal or pleural mesothelioma was 52.4 and 58.2 years, respectively. All these cases had a history of domestic or occupational exposure to chrysotile. Two-thirds of the patients were from two adjoining towns with multiple small asbestos textile workshops. Contamination of tremolite was estimated to be less than 0.3%. Conclusions This is a report of mesothelioma in women exposed to chrysotile asbestos at home and at work, with an over-representation of peritoneal mesothelioma.

  • 出版日期2015-10
  • 单位浙江省医学科学院; 国家安全生产监督管理总局信息研究院