Cancro da Tiroide associado ao Trabalho

Mónica Santos, A. Almeida, Catarina Lopes
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Abstract

Introduction/framework/objectives The study of cancer and work-related etiology has been increasing, revealing some associations with previously undervalued occupational risk factors. In this sense, it is legitimate to find out whether Thyroid Cancer can be associated with certain occupational characteristics, so that occupational health and safety teams can effectively carry out its work. Thus, the aim of this review is to gather as much scientific evidence on the phenomenon as possible, to promote a healthier and safer work environment. Methodology This is a bibliographic review, initiated through a search carried out in January 2022, in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina and RCAAP”. Content In recent decades, this pathology has increased to about three times more, becoming one of the most frequent in some countries, which may be associated with the existence of greater medical surveillance and more regular auxiliary diagnostic exams, not least because most of the lesions detected are increasingly small and premature: although other researchers consider that the increase in incidence is real, due to ionizing radiation and worsening of the Body Mass Index. Discussion and Conclusions The work circumstances that seem to be more associated are ionizing radiation, as well as some dust and chemical agents present in demolition areas/collapsed buildings and/or mercury, although without full consensus among researchers. It will be necessary to carry out further studies to prove the etiology of work origin, which will only be possible if the Occupational Health and Safety teams are aware of the problem and carry out epidemiological studies to investigate this potential causality. Keywords: thyroid cancer, ionizing radiation, occupational health, occupational medicine and safety at work.
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与工作有关的甲状腺癌
关于癌症和工作相关病因的研究越来越多,揭示了一些与以前被低估的职业风险因素的关联。从这个意义上说,了解甲状腺癌是否与某些职业特征有关是合理的,以便职业卫生安全小组能够有效地开展工作。因此,这次审查的目的是尽可能多地收集有关这一现象的科学证据,以促进更健康和更安全的工作环境。这是一篇文献综述,于2022年1月在以下数据库中进行检索:“CINALH plus全文、Medline全文、效果评价摘要数据库、Cochrane对照试验中央注册库、Cochrane系统评价数据库、Cochrane方法学注册库、护理和联合健康Collection: comprehensive、MedicLatina和RCAAP”。近几十年来,这种病理增加了大约三倍,成为一些国家最常见的疾病之一,这可能与更大的医疗监测和更定期的辅助诊断检查有关,尤其是因为大多数检测到的病变越来越小和过早:尽管其他研究人员认为,由于电离辐射和身体质量指数的恶化,发病率的增加是真实的。讨论和结论:工作环境似乎更相关的是电离辐射,以及在拆迁区/倒塌的建筑物和/或汞中存在的一些灰尘和化学剂,尽管研究人员没有完全达成共识。有必要开展进一步的研究,以证明工作来源的病因,只有在职业健康和安全小组意识到这一问题并开展流行病学研究以调查这一潜在因果关系的情况下,才有可能开展研究。关键词:甲状腺癌,电离辐射,职业卫生,职业医学,工作安全
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