Differences among peritoneal and pleural mesothelioma: data from the Lombardy Region Mesothelioma Register (Italy)

Carolina Mensi1, M Bonzini, Maria Macchione

  • 1Clinica del Lavoro "Luigi Devoto", Department of Preventive Medicine, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy. Carolina.Mensi@unimi.it

La Medicina Del Lavoro
|October 26, 2011
PubMed
Abstract

Insights

High asbestos exposure is a primary risk factor for both peritoneal mesothelioma (PEM) and pleural mesothelioma (PLM). This study found similar exposure patterns but higher rates of asbestosis and pleural plaques in PEM cases.

Area of Science:

  • Occupational Health
  • Environmental Epidemiology
  • Oncology

Background:

  • The link between asbestos exposure and peritoneal mesothelioma (PEM) requires further investigation, with some research suggesting a weaker association compared to pleural mesothelioma (PLM).
  • Understanding exposure characteristics is crucial for diagnosing and preventing mesothelioma.

Purpose of the Study:

  • To compare the individual, clinical, and asbestos exposure characteristics of peritoneal mesothelioma (PEM) and pleural mesothelioma (PLM) cases in the Lombardy Region, Italy.
  • To investigate the role of cumulative asbestos exposure in the development of both mesothelioma types.

Main Methods:

  • Utilized data from the Lombardy Region mesothelioma registry (over 9 million population).
  • Analyzed 110 peritoneal mesothelioma (PEM) cases (2000-2007) and 515 pleural mesothelioma (PLM) cases (2000-2001).
  • Collected asbestos exposure details (occupational, environmental/familial) via questionnaires and assessed asbestosis/pleural plaques using CT scans.

Main Results:

  • Peritoneal mesothelioma (PEM) and pleural mesothelioma (PLM) cases showed similar occupational (approx. 60%) and environmental/familial (7%) asbestos exposure rates.
  • PEM cases exhibited a higher proportion of combined occupational and environmental/familial exposures (6.1% vs. 3.1%) and more frequent asbestosis (7.7% vs. 0.4%) and pleural plaques (20.9% vs. 12.1%) compared to PLM.
  • No significant differences in exposure duration or latency were found between occupationally exposed PEM and PLM cases.

Conclusions:

  • High cumulative asbestos exposure is identified as a significant risk factor for both pleural and peritoneal mesothelioma.
  • Findings support a strong etiological link between asbestos and peritoneal mesothelioma, similar to pleural mesothelioma.