Zusammenfassung
In den letzten Jahren wurden bei Asbestarbeitern erhöhte Karzinomraten festgestellt, und zwar im Bereich des Gastrointestinaltraktes, des Larynx, der Nieren, des Pankreas, der Ovarien und sogar der Augen (3). In einem Beitrag wurde von einem erhöhten Lymphomrisiko bei Asbestexponierten berichtet (4). Bei Durchsicht dieser Studien muß klar gesagt werden, daß die Risiken für die anderen Organkarzinome weit niedriger liegen als für das Bronchialkarzinom. Ähnlich wie bei diesem sind andere Lebensumstände und -gewohnheiten, etwa der Alkoholkonsum und das Zigarettenrauchen, weit bedeutsamere Risikofaktoren. Viele dieser epidemiologischen Studienziehen ihre Schlüsse aus Leichenschauscheinen, eine Methode, die an sich schon große Unsicherheiten birgt (3, 38). Doll und Peto haben darauf hingewiesen, daß eine geringe Erhöhung des relativen Risikos bei einem bestimmten Karzinom seine Ursache allein darin haben könnte, daß das asbestinduzierte Bronchialkarzinom als Primärtumor nicht erkannt wurde und die extrapulmonale Metastase fälschlicherweise als Primärtumor angesehen wurde (13).
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© 1992 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt
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Konietzko, N., Teschler, H. (1992). Sonstige Erkrankungen. In: Asbest und Lunge. Steinkopff. https://doi.org/10.1007/978-3-642-85669-3_8
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