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Cited by 86Occupational and environmental lung diseasesOccupational Health and Global JusticeInterstitial Lung Diseases and Idiopathic Pulmonary Fibrosis

The DOI matches its Crossref record; 18 of the 22 references it cites were found in a registry or an index.

Environmental asbestos exposure and malignant pleural mesothelioma

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Metintas, M., Özdemir, N., Hillerdal, G., Uçgun, I., Metintas, S., Baykul, C., Elbek, O., Mutlu, S., Kolsuz, M.·1999·Respiratory Medicine
DOI 10.1016/s0954-6111(99)90318-9
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Abstract

Asbestos-related benign and malignant pleural diseases are endemic in some rural parts of central Turkey because of environmental exposure to asbestos fibres. We report here epidemiological data on 113 patients with diffuse malignant pleural mesothelioma (DMPM) diagnosed in our clinic in Eskişehir, located in central Turkey. Of the 113 patients, 59 were men and 54 women (male:female ratio = 1). Ninety-seven patients (86%) had non-occupational asbestos exposure; all were living in villages. Their mean age was 56 years. As the patients had been exposed to asbestos from birth, the latency period was equivalent to the age of the patients. Twenty-eight patients (29%) had lived in villages their entire lives. The other 69 (71%) had been born in a village but migrated to the city or had given up white-soil usage for various reasons. The mean exposure time was 55 years for those with a long exposure period and 25 years for those with a short exposure period, but there was no significant difference between the age of the disease appearance for both groups (55 and 56 years, respectively). Thus, the latency time of mesothelioma due to environmental exposure to asbestos was longer than that due to occupational exposure, but independent of the length of exposure. Soil samples from 67 villages were analysed, comprising a population of 10,120 villagers. Tremolite and some other types of asbestos were found. In conclusion, DMPM in our region is due to mainly to environmental exposure to asbestos. The risk is substantial as a large proportion of the villagers are exposed. After smoking, asbestos exposure is one of the most serious health hazards in our rural population.

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Show all 22 references

Research works printed but not linked: 4

  1. Wagner, 1993, The discovery of the association of mesotheliomas and asbestos exposure, Eur Respir Rev, 3, 9
  2. McDonald, 1993, Mesothelioma: is there a background?, Eur Respir Rev, 3, 71
  3. Laval, 1993, Retrospective study of 224 cases of pleural mesothelioma in the Rhone-Alpes region, France; between 1980 and 1988, Eur Respir Rev, 3, 89
  4. Letourneux, 1993, Malignant mesothelioma diagnosed in Lower Normandy between 1980 and 1990, Eur Respir Rev, 3, 87

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Metadata

Authors
Metintas, M., Özdemir, N., Hillerdal, G., Uçgun, I., Metintas, S., Baykul, C., Elbek, O., Mutlu, S., & Kolsuz, M.
Affiliations
  • Karolinska University Hospital (SE)
  • Eskişehir Osmangazi University (TR)
ORCID
Venue
Respiratory Medicine
Publisher
Elsevier BV
Published
1999-05
Volume
93
Issue
5
Pages
349-355
ISSN
0954-6111 (ISSN-L)
DOI
10.1016/s0954-6111(99)90318-9
OpenAlex
W1970826258
Cited by
86
References
22
Citations by year
2026: 2 · 2025: 3 · 2023: 6 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 7 · 2017: 5 · 2016: 2 · 2015: 3 · 2014: 2 · 2013: 4 · 2012: 8
FWCI
2.55
Type
journal article
Language
en
Open access
Licence
Locations
  • Respiratory Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
Türkiye Bilimsel ve Teknolojik Araştırma Kurumu
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Occupational and environmental lung diseases
  • Social Sciences › Health › Occupational Health and Global Justice
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
Keywords
malignant pleural mesothelioma, diffuse malignant pleural mesothelioma, environmental asbestos exposure, tremolite, rural villages, non-occupational exposure, latency period, Eskişehir, Turkey, smoking
MeSH terms
Adult, Aged, Aged, 80 and over, Asbestos, Environmental Exposure, Female, Humans, Male, Mesothelioma, Middle Aged, Pleural Diseases, Prospective Studies, Risk Factors, Rural Population, Turkey

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