与工作有关的胰腺癌

Mónica Santos, A. Almeida, Catarina Lopes
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引用次数: 0

摘要

胰腺癌的死亡率很高。对一些研究人员来说,部分病因可能与工作活动有关,因此了解风险因素可能对职业健康与安全团队的表现很重要。因此,考虑到关于该主题的证据很少,本综述的目的是总结现有的和最新的信息。这是一篇文献综述,通过检索于2022年1月启动的数据库“CINALH plus全文、Medline全文、效果评价摘要数据库、Cochrane对照试验中央登记、Cochrane系统评价数据库、Cochrane方法学登记、护理和联合健康Collection: comprehensive、MedicLatina和RCAAP”。2008年,全球估计约有28万新病例。由于生存率低,中期发病率与死亡率相近。在一些国家,男性和女性的五年生存率分别为7%和8%。这种病理通常不显示与化疗或放疗相关的令人鼓舞的结果。虽然没有完全的共识,但人们相信男性更容易受到影响。讨论和结论部分胰腺癌可能是由于职业性接触电离辐射引起的,尤其是接触某些化学制剂:农药、化肥、镉、镍(和其他重金属)、亚硝胺、氯化和多环芳烃、二氧化硅/石棉、冶金液、油漆和柴油烟雾。因此,最相关的专业领域将是农业和园艺、干洗、建筑/造船(及相关领域)以及摄影。考虑到缺乏国家一级的数据,有必要进行研究,探讨这一现象,即接触可能致癌的风险因素的程度,哪些职业接触最多,哪些保护措施已被等同,以及其有效性,甚至复工率及其最终的限制。关键词:胰腺癌、农药、职业卫生、职业医学、职业安全。
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Cancro Pancreático associado ao Trabalho
Introduction/framework/objectives Pancreatic cancer has a high mortality rate. Part of the etiology, for some researchers, may be related to work activities, so knowledge of risk factors may be important for the performance of Occupational Health and Security teams. Thus, taking into account that the evidence on the subject is scarce, the aim of this review was to summarize the available and most current information. 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 2008, around 280,000 new cases were estimated worldwide. Due to the low survival rate, the incidence number is similar to the mortality rate in the medium term. The five-year survival rate in some countries is 7 and 8% for males and females, respectively. This pathology generally does not show encouraging results in relation to chemotherapy or radiotherapy. Although without full consensus, it is believed that males are more likely to be affected. Discussion and Conclusions Part of pancreatic cancers may have an occupational origin through contact with ionizing radiation and, above all, some chemical agents: pesticides, fertilizers, cadmium, nickel (and other heavy metals), nitrosamines, chlorinated and polycyclic aromatics hydrocarbons, silica/asbestos, metallurgy fluids, paints and diesel fumes. Thus, the most relevant professional sectors will be agriculture and gardening, dry cleaning, construction/shipbuilding (and related areas), as well as photography. Taking into account the scarcity of data at a national level, it would be relevant to obtain studies that explore this phenomenon, namely, which levels of exposure to risk factors potentially carcinogenic, which professions are most exposed, which protection measures have been equated, as well as its effectiveness or even the rate of return to work and its eventual limitations. KEYWORDS: pancreatic cancer, pesticides, occupational health, occupational medicine, occupational safety.
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