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Published on: October 2, 2015
[Incidence of pleural mesotheliomas in Poland (preliminary report)]
M Szturmowicz1, B Vertun-Baranowska, E Rowińska-Zakrzewska
1Kliniki Chorób Wewnetrzynych Instytutu Gruźlicy i Chorób Płuc, Warszawie.
Abstract:
Mesothelioma is a rare malignancy, difficult to diagnose and rarely found in a population not exposed to asbestos. In the immediate past incidence rates of this disease have increased due to extensive use of this mineral in the industry of the 1950's. The aim of this study was to assess the incidence of mesotheliomas basing on results of a questionnaire posted in 1987 to all pneumonology clinics, oncological departments in Poland, and data from the Central Oncological Register from the years 1970-1985. Incidence of this malignant disease was 1-2 cases per 1,000,000 of general population during the years 1970-1985 and did not rise in 1986. Regional differences were observed, in some areas the incidence rate was 5-6 per 1,000,000. Data from the Occupational Medicine Institute disclosed in these regions more extensive industrial use of this mineral. The authors have also concluded that "at-life" diagnosis of mesothelioma rises, mainly due to the use of open pleural biopsy.
Insights
Mesothelioma incidence remained stable from 1970-1985, despite past asbestos use. Regional variations in mesothelioma rates correlate with industrial asbestos exposure, and "at-life" diagnoses are increasing.
Area of Science:
- Oncology
- Epidemiology
- Occupational Medicine
Context:
- Mesothelioma is a rare cancer linked to asbestos exposure.
- Past industrial use of asbestos in the 1950s may influence current incidence rates.
- Understanding mesothelioma epidemiology is crucial for public health and occupational safety.
Purpose:
- To assess the incidence of mesothelioma in Poland between 1970 and 1985.
- To investigate regional variations in mesothelioma rates and their correlation with asbestos exposure.
- To evaluate trends in mesothelioma diagnosis, including
- at-life
- diagnoses.
Summary:
- Mesothelioma incidence in Poland was 1-2 cases per million population from 1970-1985, with no rise in 1986.
- Significant regional differences in incidence were observed, with higher rates in areas of greater industrial asbestos use.
- The study utilized questionnaire data from pneumology and oncology clinics, alongside Central Oncological Register data.
Impact:
- Findings indicate stable mesothelioma incidence during the study period, contrary to expectations based on historical asbestos use.
- Identified regional disparities highlight the localized impact of occupational asbestos exposure.
- Increased
- at-life
- diagnosis suggests improved diagnostic capabilities, particularly through open pleural biopsy.
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