Annals of Occupational and Environmental Medicine

Review

Overview of occupational cancer in painters in Korea: Jun-Pyo Myong, Younmo Cho, Min Choi, Hyoung-Ryoul Kim; Ann Occup Environ Med 2018;30:10. Published online February 6, 2018; DOI: https://doi.org/10.1186/s40557-018-0222-3

Comprehensive consideration is necessary for setting guidelines to evaluate evidence of occupational cancer in painters due to work-related exposure to carcinogens in paint (a phenomenon termed herein as “work-relatedness”). The aim of the present research is to perform a comprehensive review and to suggest criteria for the provision of compensation for occupational neoplasm among painters in Korea. In order to perform a comprehensive review, this study assessed and evaluated scientific reports of carcinogenicities from the International Agency for Research on Cancer (IARC) and the Industrial Injuries Advisory Council (IIAC), as well as reviewed the existing literature about occupational exposure among painters in Korea and the epidemiologic investigations of claimed cases of cancer among painters in Korea. The IARC declares that occupational exposures in commercial painting are classified as Group 1 carcinogens for lung cancer and bladder cancer among painters. The epidemiologic studies show consistent causal relationships between occupational exposure in painters and cancers such as lung cancer [meta relative risk: 1.34 (95% confidence intervals (CIs): 1.23-1.41)] and bladder cancer [meta relative risk: 1.24 (95% CIs: 1.16-1.33)]. In reviewing occupational cancer risks for commercial painters, the Industrial Injuries Advisory Council (IIAC) confirms occupational cancer risks for lung and bladder cancer among commercial painters. According to the IIAC, however, the elevated cancer risks reported in existing literature are not doubled in either lung or bladder cancer in commercial painters relative to the risks of these cancers in the general population. Based on our review of existing Korean articles on the topic, painters are exposed to potential carcinogens including polycyclic aromatic hydrocarbons (PAHs), benzene, hexavalent chrome, crystalized silica, asbestos, and other agents, and relative levels are estimated within commercial painting processes. However, the cancer risks of occupational exposure to Group 1 carcinogens for lung and bladder cancer in painters per se are not fully assessed in existing Korean articles. Total work duration, potential carcinogens in paint, mixed exposure to paints across various industries such as construction and shipbuilding, exposure periods, latent periods, and other factors should be considered on an individual basis in investigating the work-relatedness of certain types of cancer in commercial painters.

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Case Report

Malignant Fibrous Histiocytoma of the Maxillary Sinus in a Spray Painter from an Automobile Repair Shop: Seok-Hwan Choi, Se-Yeong Kim, Man-Ki Son, Hui-Seok Yang, Sun-Woo Lee, Jung-Il Kim, Kap-Yeol Jung; Ann Occup Environ Med 2013;25:30-30. Published online November 1, 2013; DOI: https://doi.org/10.1186/2052-4374-25-30

Abstract PDF PubReader ePub

Background

We report a case of a spray painter who developed malignant fibrous histiocytoma (MFH) of the maxillary sinus following long-term exposure to chromium, nickel, and formaldehyde, implying that these agents are probable causal agents of MFH.

Case report

The patient developed right-sided prosopalgia that began twenty months ago. The symptom persisted despite medical treatment. After two months, he was diagnosed with MFH through imaging studies, surgery, and pathological microscopic findings at a university hospital in Seoul. His social, medical, and family history was unremarkable.

The patient had worked for about 18 years at an automobile repair shop as a spray painter. During this period, he had been exposed to various occupational agents, such as hexavalent chromium, nickel, and formaldehyde, without appropriate personal protective equipment. He painted 6 days a week and worked for about 8 hours a day.

Investigation of the patient’s work environment detected hexavalent chromium, chromate, nickel, and formaldehyde.

Conclusions

The study revealed that the patient had been exposed to hexavalent chromium, formaldehyde, and nickel compounds through sanding and spray painting. The association between paranasal cancer and exposure to the aforementioned occupational human carcinogens has been established. We suggest, in this case, the possibility that the paint spraying acted as a causal agent for paranasal cancer.

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Original Article

A study on the Frequency of Sister Chromatid Exchanges in Peripheral Lymphocytes among Painters: Seung Rim Yang; Korean Journal of Occupational and Environmental Medicine 1994;6(2):332-341. Published online September 30, 1994; DOI: https://doi.org/10.35371/kjoem.1994.6.2.332

Abstract PDF: The author studied the frequencies of sister chromatid exchanges of cultured peripheral Iymphocytes from 51 chromium exposed workers and 29 controls in order to examine the inductivity of sister chromatid exchanges of cultured peripheral lymphocytes of chromium exposed workers, from June 1989 to March 1990. The results obtained were as follows; 1. Mean frequencies of sister chromatid exchanges of cultured peripheral lymphocytes were 9.33+/-2.57 from chromium exposed workers and 7.59+/-0.81 from control, respectively, and the former was significantly higher than the latter (p<0.01) . 2. The frequencies of sister chromatid exchanges of cultured peripheral lymphocytes by duration of employment from chromium exposed workers was increased in proportion to that, but there was no statistical significance. 3. The frequencies of sister chromatid exchanges of cultured peripheral lymphocytes by chromium concentration in blood and urine of chromium exposed workers were not significantly increased. 4. The frequencies of sister chromatid exchanges of cultured peripheral lymphocytes by levels of alcohol consumption in chromium exposed workers was inclined to increase in proportion to that. 5. The frequencies of sister chromatid exchanges of cultured peripheral lymphocytes by number of cigarettes smoked was significantly increased in proportion to that in both chromium exposed workers and controls (p<0.05) . 6. In drinkers of chromium exposed workers, the frequencies of sister chromatid exchanges of cultured peripheral lymphocytes in smokers was higher than non-smokers, but there was no statistical significance.

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