与工作有关的肝癌

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

摘要

一些研究提醒人们,在某些专业领域的工人中,肝癌的发病率可能会增加。然而,这方面的信息仍然非常匮乏,职业保健小组可能无法获得这些信息,从而无法在风险较高的工作场所采取措施或研究这一现象的发生率。因此,本工作的目的是总结有关肝癌职业危险因素的最相关数据。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”。肝癌是世界上第五或第六常见的疾病,也是第二致命的疾病,每年约有75万例。80%的病例发生在亚洲和撒哈拉以南非洲,只有8%发生在发达国家。在职业层面上,可能与接触浮点毒素、杀虫剂、多环芳烃、氯乙烯和某些病毒有关。讨论与结论有一些证据表明肝癌可能与接触某些化学和生物制剂有关,但仍不可能无可辩驳地确定它们与工作环境的关系。本研究中显示的统计数据没有显示来自葡萄牙的数据,因此更好地了解国家的现实情况,并找出肝肿瘤病例与其工作场所之间存在的关系,将是一件有趣的事情。关键词:肝癌、职业卫生、职业医学与工作安全。
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Cancro de Fígado associado ao Trabalho
Introduction/framework/objectives Some studies alert to the possibility that the incidence of Liver Cancer is increased in workers of some professional sectors. This information is, however, still very scarce, and may not be available for occupational health teams to be able to take measures in higher risk workplaces or study the incidence of this phenomenon. Thus, the objective of this work was to summarize the most relevant data about occupational risk factors for liver cancer. 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 Liver Cancer is the fifth or sixth most common worldwide and the second most deadly, with around 750,000 cases/year. 80% of cases occur in Asia and sub-Saharan Africa and only 8% occur in developed countries. At an occupational level, there may be a relationship with exposure to Aflotoxins, Pesticides, Polycyclic Aromatic Hydrocarbons, Vinyl Chloride and some viruses. Discussion and Conclusions There is some evidence that liver cancer may be associated with contact with some chemical and biological agents, however it is still not possible to irrefutably establish their relationship with work environments. The statistics shown in this study do not reveal data from Portugal, so it would be interesting to get to know the national reality better and to find out the existence of relationships between cases of liver oncological disease and their workplaces. KEYWORDS: liver cancer, occupational health, occupational medicine and safety at work.
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