Amosite Mesothelioma in a Cohort of Asbestos Workers

A cohort of 820 asbestos workers with a short duration of exposure to amosite between 1941 and 1945 was followed. These men were alive five years after starting work and were observed until 1988. Seventeen cases of malignant mesothelioma (eight pleural, nine peritoneal) were found. The mean age at t...

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Veröffentlicht in:Scandinavian Journal of Work, Environment & Health Environment & Health, 1989-04, Vol.15 (2), p.106-110
Hauptverfasser: Ribak, Joseph, Seidman, Herbert, Selikoff, Irving J
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container_issue 2
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container_title Scandinavian Journal of Work, Environment & Health
container_volume 15
creator Ribak, Joseph
Seidman, Herbert
Selikoff, Irving J
description A cohort of 820 asbestos workers with a short duration of exposure to amosite between 1941 and 1945 was followed. These men were alive five years after starting work and were observed until 1988. Seventeen cases of malignant mesothelioma (eight pleural, nine peritoneal) were found. The mean age at the onset of exposure was 33 years for men with pleural mesothelioma and 30 years for those with peritoneal mesothelioma. Chest pain was the main symptom in pleural mesothelioma and abdominal pain in peritoneal mesothelioma. Open lung biopsy was the most useful diagnostic approach for pleural mesothelioma, whereas for peritoneal mesothelioma it was exploratory laparotomy. Pleural patients died of pulmonary insufficiency, and peritoneal patients of wasting and inanition. In both groups the death certificate diagnosis was less accurate than the clinical diagnosis at death. The mean survival was 12.5 months from first symptom to death for the pleural group and 5.4 months for the peritoneal group.
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These men were alive five years after starting work and were observed until 1988. Seventeen cases of malignant mesothelioma (eight pleural, nine peritoneal) were found. The mean age at the onset of exposure was 33 years for men with pleural mesothelioma and 30 years for those with peritoneal mesothelioma. Chest pain was the main symptom in pleural mesothelioma and abdominal pain in peritoneal mesothelioma. Open lung biopsy was the most useful diagnostic approach for pleural mesothelioma, whereas for peritoneal mesothelioma it was exploratory laparotomy. Pleural patients died of pulmonary insufficiency, and peritoneal patients of wasting and inanition. In both groups the death certificate diagnosis was less accurate than the clinical diagnosis at death. 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identifier ISSN: 0355-3140
ispartof Scandinavian Journal of Work, Environment & Health, 1989-04, Vol.15 (2), p.106-110
issn 0355-3140
1795-990X
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source MEDLINE; Jstor Complete Legacy; EZB-FREE-00999 freely available EZB journals
subjects Adult
Aged
Asbestos
Asbestos - adverse effects
Asbestos, Amosite
Biopsies
Chest pain
Death certificates
Factory labor
Humans
Insulation
Lungs
Male
Mesothelioma
Mesothelioma - chemically induced
Mesothelioma - mortality
Middle Aged
New Jersey
Occupational Diseases - chemically induced
Occupational Diseases - mortality
Pathology
Peritoneal Neoplasms - chemically induced
Peritoneal Neoplasms - mortality
Pleural Neoplasms - chemically induced
Pleural Neoplasms - mortality
Symptoms
title Amosite Mesothelioma in a Cohort of Asbestos Workers
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