肺癌与矽肺的关系:从理论到职业医学实践

M. Oțelea
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引用次数: 0

摘要

自2012年以来,国际癌症研究机构(International Agency for Research on Cancer)将游离晶体二氧化硅粉尘(Unbound (free) crystalline-silica dust)认定为一类致癌物。在上世纪末,这种职业危害的暴露是巨大的,今天它继续存在,尽管水平较低。在罗马尼亚,由于缺乏适当的接触后监测和遇到多重障碍的病例报告,例如缺乏接触数据或发生接触的工业场所消失,导致这种接触导致的职业性癌症病例数量极少。职业性暴露于游离结晶二氧化硅粉尘可引起矽肺病,这种疾病的存在证明了显著暴露的存在。这就是为什么先前被诊断为矽肺病的患者的职业性癌症声明应该直截了当,因为暴露的证据已经存在。本文从现有科学数据的角度介绍了癌症与矽肺的关系,旨在证实公共卫生部门调查和报告病例的医生的决定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The association between lung cancer and silicosis: from theory to practice in occupational medicine
Abstract Unbound (free) crystalline-silica dust is recognized since 2012 by the International Agency for Research on Cancer as a class I carcinogen. Exposure to this professional hazard was massive at the end of the last century, and it continues to exist today, albeit at lower levels. The number of cases of occupational cancer attributed to this exposure is minimal in Romania due to the absence of adequate post-exposure monitoring and the reporting of cases that encounters multiple obstacles, such as the absence of exposure data or the disappearance of the industrial sites in which the exposure took place. Occupational exposure to free crystalline silica dust can cause silicosis, and the presence of this disease certifies the existence of significant exposure. That is why the declaration of occupational cancer in a patient previously diagnosed with silicosis should be straightforward because the proof of exposure already exists. This article presents the cancer-silicosis relationship from the perspective of current scientific data and aims to substantiate the decision of the doctors from the public health departments who investigate and declare the reported cases.
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