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Cancro do Pulmão associado ao Trabalho 与工作有关的肺癌
Pub Date : 2023-06-30 DOI: 10.31252/rpso.10.06.2023
Mónica Santos, Armando Almeida, Catarina Lopes
Introduction/framework/objectives Lung Cancer is fairly common and usually very lethal. Part of the cases seems to have an occupational etiology, so it will be relevant for professionals in the area to have some notions on the subject. The aim of this review was to summarize what was most recent and pertinent published on this subject. 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 It is the deadliest cancer worldwide; it is the most frequent in males and the third most prevalent in females. Some researchers consider that it is possible that some hormonal issues can boost the number of cases in females. In this last ones, the most frequent is adenocarcinoma, less associated with tobacco. It is believed that the occupational origin can explain almost a third of the cases. In this context, asbestos are the most relevant factor (responsible for 55 to 85% of cases with occupational etiology), according to some authors. Discussion and Conclusions In the literature, there is reasonable evidence that Lung Cancer is more likely to occur in situations where there is exposure to Radon, Asbestos/Silica, Polycyclic Aromatic Hydrocarbons, Fiberglass, Diesel, Aluminum, Sulfur Dioxide and/or Particulate Matter. Thus, some of the professional sectors highlighted in this context will be Construction (General and Naval), Foundries and Mines. Despite this, there is little available literature that demonstrates the study of this phenomenon in national companies, so it would be relevant for some Occupational Health and Safety teams to dedicate some time to investigating these issues, enhancing global scientific knowledge on this topic and, in particular, epidemiologically characterizing the national panorama (incidence, most affected sectors/professions/tasks, as well as most used and/or effective collective and individual protection measures). Keywords: lung cancer, asbestos, silica, radon, occupational health, occupational medicine and occupational security.
肺癌是一种相当常见且通常非常致命的疾病。部分病例似乎有职业病因,因此该领域的专业人员对这一主题有一些看法是相关的。本综述的目的是总结关于这一主题的最新和相关的出版物。这是一篇文献综述,于2022年1月在“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”数据库中进行检索。它是世界上最致命的癌症;它在男性中最常见,在女性中排名第三。一些研究人员认为,一些激素问题可能会增加女性的病例数量。在最后一种疾病中,最常见的是腺癌,与烟草的关系较小。据信,职业起源可以解释近三分之一的病例。根据一些作者的说法,在这种情况下,石棉是最相关的因素(占职业病因病例的55%至85%)。在文献中,有合理的证据表明,在接触氡、石棉/二氧化硅、多环芳烃、玻璃纤维、柴油、铝、二氧化硫和/或颗粒物的情况下,肺癌更容易发生。因此,在这方面突出的一些专业部门将是建筑(通用和海军)、铸造厂和矿山。尽管如此,很少有文献表明在国家公司中对这一现象进行了研究,因此,一些职业健康和安全小组有必要花一些时间调查这些问题,加强关于这一主题的全球科学知识,特别是从流行病学角度描述国家概况(发病率、受影响最大的部门/专业/任务、以及最常用和/或最有效的集体和个人保护措施)。关键词:肺癌,石棉,二氧化硅,氡,职业卫生,职业医学,职业安全
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Revista portuguesa de sad︢e ocupacional
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