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Query: UMLS:C0023418 (leukemia)
 93,477 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

While an earlier report on the Texaco Mortality Study cohort showed no statistically significant elevations for any cause of death for the white males, it did not preclude any excess risk of mortality within subgroups of workers. In this study, an employee's complete job history was used to determine his work categories, and patterns of mortality were examined for the more common job categories. All of the job categories examined showed deficits for mortality overall, and the patterns seen were similar to those for the entire cohort. Significant elevations were seen in pancreas cancer mortality for office and managerial people and in leukemia mortality for pipefitters and boilermakers. Other elevations of particular interest based on five or more deaths were brain cancer for laboratory workers and benign neoplasms in pipefitters and boilermakers. These associations were examined by latency and years worked, and no consistently positive associations were seen. It was not possible to take into account calendar time of exposure in this type of analysis, nor could any specific chemicals or levels of exposure be associated with the job categories where the standardized mortality ratios were elevated.
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PMID:Texaco Mortality Study: II. Patterns of mortality among white males by specific job groups. 378 82

Death certificate information identified 9,245 white and 3,508 nonwhite men who died in North Carolina during 1976-1978 and who had been farmers. The distribution of deaths from various causes among these men was compared to that of other male decedents in the state. For both white and nonwhite farmers, proportional mortality ratios (PMRs) were elevated for tuberculosis (whites, 1.6; nonwhites, 1.7), diseases of the skin and subcutaneous tissue (whites, 2.5; nonwhites, 1.5), and external causes (whites, 1.2; nonwhites, 1.1) and were decreased for cancers of the esophagus (whites and nonwhites, 0.5) and large intestine and rectum (whites and nonwhites, 0.7). White farmers had an increased relative frequency of melanoma (PMR = 1.2) and other skin cancer (PMR = 1.8), while nonwhite farmers had an increased relative frequency of melanoma (PMR = 6.3), brain cancer (PMR = 2.3), and leukemia (PMR = 1.9). In addition, among decedents under 65 years of age, both white and nonwhite farmers had an elevated proportional mortality ratio for prostate cancer (whites, 1.6; nonwhites, 1.3). Many of these results are consistent with observations from other studies. Some of these findings, particularly those for nonwhites, warrant further evaluation, including detailed investigation of possibly related farming practices.
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PMID:Mortality among white and nonwhite farmers in North Carolina, 1976-1978. 401 29

The Texaco mortality study is a retrospective follow-up study of all persons who were employed for at least five years in a refining, petrochemical, or research facility and who worked at some time during the period 1947 through 1977. Of the 19,077 white men in the cohort, 14,609 were alive, 4,024 were known to be dead, and the vital status of the remaining 444 was unknown as of Dec. 31, 1977. The standardized mortality ratio (SMR) of 75 for all causes was significantly low, on the basis of 5,332 expected deaths. Statistically significant deficits also were seen for all major causes of death and for cancer of many sites, including lung, stomach, bladder, and colon. The SMR was greater than 100 for six causes of death: pancreas cancer, brain cancer, leukemia, Hodgkin's disease, other lymphatic cancer, and benign neoplasms. However, none of these increases was statistically significant, and all SMRs except that for benign neoplasms (SMR = 148) were under 119.
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PMID:Texaco mortality study. I. Mortality among refinery, petrochemical, and research workers. 402 May 3

The risk of developing a second primary cancer was evaluated in approximately 19,000 persons with initial cancers of the lymphatic and hematopoietic system in Connecticut between 1935 and 1982. Significant excesses for all second cancers were observed among patients with leukemia (34%), Hodgkin's disease (70%), non-Hodgkin's lymphoma (25%), and multiple myeloma (24%). In general, the risk of second cancers was greater in males than in females, even for cohorts not showing an excess of surveillance-related prostate cancer. Among patients with leukemia, significant excesses of cancers of the lung, kidney/ureter, and prostate were noted; cutaneous melanoma was elevated only in males. These excesses did not persist in the small number of long-term survivors. Possible etiologic factors included tobacco smoking for lung and kidney cancers, medical surveillance artifact for prostate cancer, and immunosuppression for malignant melanoma and lung cancer. The large number and good prognoses of patients with chronic lymphocytic leukemia strongly influenced the pattern of second cancers when all leukemias were analyzed together; no evidence was found for an increased risk of second cancer in patients with acute lymphocytic leukemia. A disproportionate number of subsequent cancers, particularly those of the kidney and ureter, were diagnosed incidentally at autopsy. Patients with Hodgkin's disease displayed significant excesses of cancers of the buccal cavity and pharynx, lung, female breast, and thyroid. The latter 3 sites remained significantly elevated in long-term survivors (10 yr or more postdiagnosis), so that radiation therapy may have contributed to their development. Among persons with non-Hodgkin's lymphoma, cancers of the stomach, lung, brain, and connective tissue occurred excessively. The first 3 sites, plus cancers of the urinary bladder, remained elevated among long-term survivors. The brain cancer excess, not previously reported, may represent misclassification of central nervous system lymphoma. The risk of gastric cancer is reminiscent of similar findings in patients with both acquired and genetically determined immunodeficiency disorders. The alkylating agent, cyclophosphamide, used extensively in the treatment of non-Hodgkin's lymphoma, is known to cause bladder cancer in man.(ABSTRACT TRUNCATED AT 400 WORDS)
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PMID:Second cancer following lymphatic and hematopoietic cancers in Connecticut, 1935-82. 408 98

This cohort study examined cancer incidence in 13,650 Connecticut cosmetologists who had held licenses for 5 years or more and had begun hairdressing school prior to January 1, 1966. Cancer incidence rates for the general Connecticut population, 1935-78, were compared with those for 11,845 female and 1,805 male cosmetologists. The females had a standardized cancer incidence ratio (SIR) of 112 (P less than .01). A significant excess of lung cancer (SIR = 141) and excesses of brain (SIR = 168) and ovarian cancer (SIR = 134) of borderline significance were observed. No significant cancer risk was evident for female cosmetologists licensed since 1935, even for those with 35 years or more of follow-up, although the SIRs for brain cancer, lymphoma, and leukemia were elevated. Female cosmetologists who entered the profession between 1925 and 1934, however, experienced a significant overall cancer incidence (SIR = 129) and significant excesses of respiratory, breast, corpus uterine, and ovarian cancers. Those with 35 years or more from time of first license appeared to be at the highest risk. Among males the overall cancer incidence rate was close to that expected (SIR = 105). Smoking habits and reproductive factors that could not be taken into account may explain some of the excesses among females. Although no specific occupational agent could be identified, the excess numbers of leukemias in females and brain cancers among males and females merit continued surveillance.
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PMID:Cancer incidence among cosmetologists. 658 83

Despite their generally favorable mortality experience, general occupational surveys of farmers suggest they have elevated risks of cancer of the lymphatic and hematopoietic systems, stomach, prostate, brain, and skin. Since farmers often serve in the role of mechanic, carpenter, welder, pesticide applicator, and veterinarian, they may be exposed to many potentially hazardous substances. The types and levels of exposures have been discussed by others earlier in the program. The evidence is strongest for the association between farming and risk of leukemia. However, the specific leukemogenic agent or agents have yet to be identified. Leukemia excesses among poultrymen and dairy farmers suggest involvement of zoonotic viruses, while associations with crop production is more indicative of pesticide usage. The associations regarding other cancers (i.e., Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, soft-tissue sarcoma, and cancers of the stomach, brain, and prostate) are even less clear. However, the Swedish reports of high risk of soft-tissue sarcomas and lymphomas among persons exposed to herbicides is particularly disconcerting and underscores the urgent need for similar epidemiologic studies in the U.S. Several case-control interview studies are underway that should help clarify the role of agricultural factors in the origin of various cancers. NCI is sponsoring studies of leukemia and non-Hodgkin's lymphoma among men from Minnesota and Iowa. Detailed information on farm practices and pesticide usage is being gathered. A study of soft-tissue sarcoma, Hodgkin's disease, and non-hodgkin's lymphoma also has just been initiated. This investigation is located in Kansas, a major wheat producing area. A wheat producing area was selected because herbicides are more heavily used on this crop than insecticides. The major objective of this project is to evaluate the role of herbicides in the origin of these cancers. A case-control study of brain cancer has also recently been initiated. Although this study focuses on contact with petrochemicals, a complete work history will be obtained and would note any farm experience. These data may help clarify the reported association between brain cancer and farming.
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PMID:Cancer risks associated with agriculture: epidemiologic evidence. 715 Feb 8

The cause-specific mortality experience of 3,105 members of the Oil, Chemical and Atomic Workers International Union was examined to determine if there were unusual patterns of fatal disease that may be indicative of hazardous agents in the work environment. Deaths among active Union members that were reported by locals in Texas between 1947 and 1977 were identified through membership records, and proportionate mortality was analyzed in several broad industrial categories. PMRs for cancers of the liver and biliary passages, pancreas, lung and skin were elevated among refinery and petrochemical plant workers; however, risks did not increase with length of membership. Increased relative frequencies of stomach cancer, cancer of the brain, leukemia and multiple myeloma were confined to white males in the same category who had been Union members for 10 or more years. Excess deaths from stomach cancer and brain cancer were found among white male members employed at one specific oil refinery and petrochemical plant. Observed numbers of deaths from cancer of the stomach were greater than expected among whites and nonwhites, and an elevated PMR for lung cancer among nonwhites was found at an additional plant. Findings suggest that workers in this industry may be at increased risk of certain cancers and indicate areas for further investigation.
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PMID:Mortality among workers employed in petroleum refining and petrochemical plants. 737 49

In the growing epidemiological literature on potential health effects of electric and magnetic fields in homes, from appliances, and in the workplace, exposure assessment persists as the principal challenge. Associations of concern are residential exposure and childhood cancers, occupational exposure and adult leukemia and brain cancer, and video display terminal use and pregnancy outcome. The biologically appropriate measure of exposure is undefined, there are a multitude of exposure sources, and because the concern is with such rare diseases as leukemia and brain cancer, all studies have retrospective exposure ascertainment. Residential exposure assessment has been based on wire configuration codes of nearby electric power lines or on in-home measurements, both proxies for historical exposures of interest. Each has theoretical and logistical advantages and disadvantages. Appliance exposures are based on self-report, focusing on those used for prolonged periods in close proximity to the user, such as electric blankets. Workplace exposures have been assessed by job title, more recently supplemented with measurements. Research is needed to: (1) develop and validate historical exposure models; (2) find ways to integrate exposure across diverse sources in the home and workplace; and (3) exploit laboratory findings to guide the selection of exposure metrics and relevant time windows.
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PMID:Exposure assessment strategies in epidemiological studies of health effects of electric and magnetic fields. 748 32

The questions of whether and how N-nitroso compounds (NOC) may be inducing cancer in humans are discussed. The principal subjects covered include nitrite-derived alkylating agents that are not NOC, reasons for the wide tissue specificity of carcinogenesis by NOC, the acute toxicity of nitrosamines in humans, mechanisms of in vivo formation of NOC by chemical and bacterial nitrosation in the stomach and via nitric oxide (NO) formation during inflammation, studies on nitrite esters, use of the nitrosoproline test to follow human gastric nitrosation, correlations of nitrate in food and water with in vivo nitrosation and the inhibition of gastric nitrosation by vitamin C and polyphenols. Evidence that specific cancers are caused by NOC is reviewed for cancer of the stomach, esophagus, nasopharynx, urinary bladder in bilharzia and colon. I review the occurrence of nitrosamines in tobacco products, nitrite-cured meat (which might be linked with childhood leukemia and brain cancer) and other foods, and in drugs and industrial situations. Finally, I discuss clues from mutations in ras and p53 genes in human tumors about whether NOC are etiologic agents and draw some general conclusions.
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PMID:Role of N-nitroso compounds (NOC) and N-nitrosation in etiology of gastric, esophageal, nasopharyngeal and bladder cancer and contribution to cancer of known exposures to NOC. 760 May 41

For over ten years, there has been concern with the potential for increased risk of cancer among "electrical workers." In contrast to studies of residential exposure to magnetic fields, occupational studies include electric and magnetic field exposures and have much greater variability in field intensity, frequency, and temporal patterns. Studies of leukemia in electrical workers show a moderate consistency, with elevated risk ratios of 1.2 to 2.0 commonly observed. Brain tumors are similarly elevated with some consistency, and three recent studies have suggested increased risk of male breast cancer. Retrospective exposure assessment methods were advanced in recent studies of diverse occupations in a study in central Sweden, which yielded evidence of increased risk of chronic lymphocytic leukemia among men in more highly exposed occupations. A study of telephone workers in New York State incorporated measurements and found some indication of increased leukemia risk only when exposures were based on historical technology. Utility workers in southern California were studied and found not to have increased risks of leukemia and brain cancer based on exposures estimated with measurements. An ongoing study of electric utility workers at five companies in the United States incorporates an extensive measurement protocol. Randomly selected workers within occupational categories wore a time-integrating magnetic-field meter to provide estimates of exposure for the occupational category. We were able to estimate and partition the variance into between-day (the largest contributor), within occupational categories, and between occupational categories. Principal research needs concern optimal levels of worker aggregation for exposure assignment, historical extrapolation, study of diverse work environments, and integration of residential and occupational exposure in the same study.
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PMID:Overview of occupational exposure to electric and magnetic fields and cancer: advancements in exposure assessment. 761 51


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