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A work-relatedness assessment in epidemiological case investigation of occupational cancers: II. Practice: an upper urinary tract cancer in a dyer
Kihun Kim, Hyeoncheol Oh, Jungwon Kim
Ann Occup Environ Med 2020;32:e31.   Published online September 1, 2020
DOI: https://doi.org/10.35371/aoem.2020.32.e31
AbstractAbstract PDFPubReaderePub

An epidemiological case investigation of occupational cancer is conducted to determine the causation between the cancer and the worker's job. This review describes the overall process of work-relatedness assessment of the epidemiological case investigation through a case of upper urinary tract cancer (UUTC) in benzidine exposed worker in dyeing industry. Medical referrals, occupational history, material safety data sheet, and working environment monitoring submitted by the Korea Workers' Compensation and Welfare Service were reviewed. We further investigated literatures about the cotton dyeing industry, the domestic law and working environment monitoring reports. Benzidine was listed as an International Agency for Research on Cancer risk factor only for bladder cancer among urinary tract cancers, requiring different logical grounds for establishing causation. A literature review was conducted on the metabolic pathways of benzidine to establish biological plausibility. In addition, several papers were investigated that UUTC and bladder cancer share risk factors to extrapolate the epidemiological studies of bladder cancer. Epidemiologic studies of benzidine and bladder cancer were investigated. The worker is a 71-year-old man and performed dyeing and transporting at several dyeing factories for 29 years. The worker was diagnosed with UUTC based on radiologic and histologic results. It was critical to consider that he worked as a dyer for 3 years. The cancer was diagnosed in 2018, with a latent period of approximately 35 years. The worker performed cotton dyeing, and benzidine-based dye was mainly used. The quantitative exposure level of benzidine was reported from non-detection to 397.4 µg/m3. In biological metabolisms, N-acetylhydroxylamine changes DNA structure of urothelium. As a result of reviewing 4 epidemiological studies, the standardized incidence ratio and standardized mortality ratio were significantly high with 3 years of exposure. Work-relatedness was finally assessed as probable based on biological mechanisms and epidemiological evidence. This review will help solutions for work-relatedness assessment processes.


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Research Article
Relationship between occupational sunlight exposure and the incidence of renal cancer
Hyun-Suk Jang, Jong-Han Leem, Seong Soo Jeon, Shin-Goo Park, Sangyoon Lee, Yangwon Kang, Go Choi, Hyung Doo Kim, Hyeonwoo Ju, Sung Wook Jang, Youna Won, Hwan-Cheol Kim
Ann Occup Environ Med 2019;31:e32.   Published online November 7, 2019
DOI: https://doi.org/10.35371/aoem.2019.31.e32
AbstractAbstract PDFPubReaderePub
Background

The risk factors for renal cancer include smoking, obesity, hypertension, and exposure to trichloroethylene. Recent studies have shown that low sunlight exposure increases the risk of developing a range of cancers, including renal cancer. Given that most of the daytime is spent at work, a lack of occupational sunlight exposure can be a risk factor for renal cancer. Therefore, this study examined the relationship between occupational sunlight exposure and the incidence of renal cancer.

Methods

This was a university hospital-based case-control study on renal cancer. Of the 706 newly diagnosed patients with renal cell carcinoma (RCC), 633 cases were selected; 73 who had no occupational history were excluded. In addition, 633 controls were selected from the general population after 1:1 matching with respect to sex, age (within 5 years), and residential area (constituency-level). Information on sunlight exposure by the occupational group was referred to data from France. To estimate the association between occupational sunlight exposure and the RCC risk, the odds ratios (ORs) were calculated using conditional logistic regression analysis.

Results

Sunlight exposure was divided into quartiles and the risk of RCC was analyzed. The adjusted OR of RCC (OR: 0.664, 95% confidence interval: 0.449–0.983) was significantly lower for the Q4 group than Q1 group but the Q2 and Q3 groups did not show significant results. The risk of RCC tended to decrease with increasing exposure to sunlight (p for trend < 0.028).

Conclusions

Higher occupational sunlight exposure reduces the risk of RCC.


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Case Report
Case report of renal cell carcinoma in automobile manufacturing factory worker due to trichloroethylene exposure in Korea
June-Hee Lee, Inah Kim, Hongdeok Seok, Inhyo Park, Jungho Hwang, Jae-Oh Park, Jong-Uk Won, Jaehoon Roh
Ann Occup Environ Med 2015;27:19.   Published online August 3, 2015
DOI: https://doi.org/10.1186/s40557-015-0068-x
AbstractAbstract PDFPubReaderePub
Background

The aim of this paper was report first case of renal cell carcinoma developed in a worker who worked in an automobile manufacture line which handles trichloroethylene in Korea.

Case presentation

To clarify the relationship between the onset of renal cell carcinoma in 52-years old male worker and the exposure to trichloroethylene, document studies and work environment measurement were done. Past work environment exposure data were reviewed and medical history and surgery records of the worker were also reviewed. The patient had no personal risk factor related to renal cell carcinoma except for his smoking habit of quarter a pack per day for twenty years, and since trichloroethylene was not part of measurement criteria, past work environment risk assessment data could not verify the exposure. The exposure level is deduced by analyzing material exposure level of work environments which has similar processes in data from revised research of chemical exposure standard and work environment validity assessment. Evaluation Committee of Epidemiologic Survey decided that there are relevant relationship between the exposure and the disease, though we do not have exact data during that period, most experts agree that in every factories they used trichloroethylene without any direction.

Conclusions

From the relevant medical history and the results of the usage of trichloroethylene in the relevant industries, and initial discovery of renal cell carcinoma at health inspection sonogram in 2001, it can be concluded that suggests significant causal relationship between the exposure to trichloroethylene and renal cell carcinoma onset, thus reporting it to be the first domestic case declared to be occupational disease.


Citations

Citations to this article as recorded by  
  • Effect of drainage layer on pressure drop of dual-layer glass fibrous coalescing filters
    Chengwei Xu, Yan Yu, Xiaodong Si
    Korean Journal of Chemical Engineering.2022; 39(9): 2474.     CrossRef
  • Association Between Kidney Cancer and Occupational Exposure to Trichloroethylene
    Morten Buhagen, Anna Grønskag, Siri Fenstad Ragde, Bjørn Hilt
    Journal of Occupational & Environmental Medicine.2016; 58(9): 957.     CrossRef
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Case Report
A Case of Tracheal Adenoid Cystic Carcinoma in a Worker Exposed to Rubber Fumes
Dohyung Kim, Yang-In Hwang, Sungyeul Choi, Chulyong Park, Naroo Lee, Eun-A Kim
Ann Occup Environ Med 2013;25:22-22.   Published online October 17, 2013
DOI: https://doi.org/10.1186/2052-4374-25-22
AbstractAbstract PDFPubReaderePub
Background

Primary tracheal tumors occur infrequently, accounting for less than 0.1% of all tumors. Adenoid cystic carcinoma (ACC) is the second most common type of malignancy of the trachea after squamous cell carcinoma (SCC). Little has been reported on the risk factors for tracheal ACC. The purpose of this study is to describe a case of tracheal ACC in a patient who had been exposed to rubber fumes, and to review the relationship between tracheal ACC and rubber fumes.

Case report

A 48-year-old man who had been experiencing aggravation of dyspnea for several months was diagnosed as having ACC of the trachea on the basis of a pathologic examination of a biopsy specimen obtained via laser microscopy-guided resection. The patient had been exposed to rubber fumes for 10 years at a tire manufacturing factory where he worked until ACC was diagnosed. His job involved preheating and changing rubber molds during the curing process.

Conclusion

ACC of both the trachea and the salivary glands show very similar patterns with regard to histopathology and epidemiology and are therefore assumed to have a common etiology. Rubber manufacturing is an occupational risk factor for the development of salivary gland tumors. Further, rubber fumes have been reported to be mutagenic. The exposure level to rubber fumes during the curing process at the patient’s workplace was estimated to be close to or higher than British Occupational Exposure Limits. Therefore, tracheal ACC in this case might have been influenced by occupational exposure to rubber fumes.


Citations

Citations to this article as recorded by  
  • Tracheal adenoid cystic carcinoma with microscopic positive margin—how we approached with a systematic analysis review of its management
    Sivakumar Krishnasamy, Chu-Yik Tang, Pheng Hian Tan
    Indian Journal of Thoracic and Cardiovascular Surgery.2024; 40(3): 332.     CrossRef
  • Trakea Yerleşimli Adenoid Kistik Karsinom: Olgu Sunumu
    Deniz KÜTRİ, Alaattin ÖZEN, Suzan ŞAYLISOY
    Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi.2021; 8(3): 227.     CrossRef
  • Candida Infection Associated with Salivary Gland—A Narrative Review
    Soo-Min Ok, Donald Ho, Tyler Lynd, Yong-Woo Ahn, Hye-Min Ju, Sung-Hee Jeong, Kyounga Cheon
    Journal of Clinical Medicine.2020; 10(1): 97.     CrossRef
  • Polyomavirus JCPyV infrequently detectable in adenoid cystic carcinoma of the oral cavity and the airways
    Hanna Hämetoja, Jaana Hagström, Caj Haglund, Leif Bäck, Antti Mäkitie, Stina Syrjänen
    Virchows Archiv.2019; 475(5): 609.     CrossRef
  • Adenoid Cystic Carcinoma of the Trachea
    Santhosh Kumar N, Elizabeth Mathew Iype, Shaji Thomas, Uma V. Sankar
    Indian Journal of Surgical Oncology.2016; 7(1): 62.     CrossRef
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