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Malignant mesothelioma of the pleura in Barrow-in-Furness.
Abstract
Ffty cases of malignant pleural mesothelioma (47 men and 3 women) have been diagnosed during the period 1966-76 in Barrow-in-Furness, all of them histologically proved and accepted by the Pneumoconiosis Panel. At the time of writing only three survive. There was a history of industrial exposure to asbestos in all 47 men, who had worked in various trades in the shipyard, as had one of the women. One of the women was married to a shipyard plumber, who may have brought home asbestos dust on his clothes. Only one patient, a housewife, aged 28 at diagnosis, had no known asbestos contact. The asbestos content of the lungs has been measured in the last 20 cases, in 18 of whom it was found to be substantially greater than the accepted levels for the general population. In a small number studied by electron microscopy, the predominant fibre was crocidolite. A positive histological diagnosis was achieved in 39 subjects during life in the expectation of securing industrial compensation, but, in spite of this, less than half of the dependants are currently receiving payments. Metastases, though never clinically apparent, were frequent at necropsy.
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“Unfortunately, these published case reports rarely identified the type of asbestos to which the case was exposed [1,14,23,38], with a few exceptions, all of which reported exposure to amphibole asbestos (amosite or crocidolite) (Table 1).”
From Domestic asbestos exposure: a review of epidemiologic and exposure data (2013) · cites this paper as [23]
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Research works printed but not linked: 19
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- Ashcroft, T., and Heppleston, A. G. (1973). The optical and electron microscopic determination of pulmonary asbestos fibre concentration and its relation to the human pathological reaction. Journal of Clinical Pathology, 26, 224-234. · DOI
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- Kiviluoto, R., and Meurman, L. (1970). Results of asbestos exposure in Finland. In Pneumoconiosis. Proceedings of the Third International Conference, Johannesburg, 1969, edited by H. A. Shapiro, pp. 190-191. Oxford University Press, Capetown.
- McDonald, A. D., Harper, A., El Attar, 0. A., and McDonald, J. C. (1970). Epidemiology of primary malignant pleural mesothelial tumours in Canada. In Pneumoconiosis. Proceedings of the Third International Conference, Johannesburg, 1969, edited by H. A. Shapiro, pp. 197-200. Oxford University Press, Capetown.
- McEwen, J., Finlayson, A., Mair, A., and Gibson, A. A. M. (1970). Mesothelioma in Scotland. British Medical Journal, 4, 575-578.
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- Pooley, F. D. (1975). The identification of asbestos dust with an electron microscope microprobe analyser. Annals of Occupational Hygiene, 18, 181186.
- Pooley, F. D. (1976). An examination of the fibrous mineral content of asbestos lung tissue from the Canadian chrysotile mining industry. Environmental Research, 12, 281-298. · DOI
- Roberts, G. H. (1976). Distant visceral metastases in pleural mesothelioma. British Journal of Diseases of the Chest, 70, 246-250. · DOI
- Selikoff, I. J., Churg, J., and Hammond, E. C. (1965). Relation between exposure to asbestos and mesothelioma. New England Journal of Medicine, 272, 560-565. · DOI · Paper page
- Sheers, G., and Templeton, A. R. (1968). Effects of asbestos in dockyard workers. British Medical Journal, 3, 574-579. · DOI
- Statutory Rules and Orders (1931) No. 1140, Asbestos Industry Regulations. HMSO, London.
- Steel, S. J., and Winstanley, D. P. (1969). Trephine biopsy of the lung and pleura. Thorax, 24, 576-584. · DOI
- Wagner, J. C., Sleggs, C. A., and Marchand, P. (1960). Diffuse pleural mesothelioma and asbestos exposure in the North Western Cape Province. British Journal of Industrial Medicine, 17, 260-270.
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- Whitwell, F., Scott, J., and Grimshaw, M. (1977). Relationship between occupations and asbestos-fibre content of the lungs in patients with pleural mesothelioma, lung cancer, and other diseases. Thorax, 32, 377-386. · DOI
Cited by
Domestic asbestos exposure: a review of epidemiologic and exposure data
Goswami, E., Craven, V., Dahlstrom, D., Alexander, D., & Mowat, F. (2013) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph10115629 · Cited by 92
Metadata
- Authors
- Edge, J. R., & Choudhury, S. L.
- Venue
- Thorax
- Publisher
- BMJ
- Published
- 1978-02-01
- Volume
- 33
- Issue
- 1
- Pages
- 26-30
- ISSN
- 0040-6376
- Cited by
- 54
- References
- 0
- Language
- en
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