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Meta-analysis of four Swedish case-control studies on exposure to pesticides as risk-factor for soft-tissue sarcoma including the relation to tumour localization and histopathological type

Hardell, L. ; Eriksson, M. LU orcid and Degerman, A. (1995) In International Journal of Oncology 6(4). p.847-851
Abstract

In four previous case-control studies we have shown an association between exposure to phenoxyacetic acids or chlorophenols and soft-tissue sarcoma (STS). These chemicals are contaminated by dioxins and dibenzofurans, some of which are known carcinogens in experimental animals. In a meta-analysis of our four studies we studied such exposure including the relation to tumour localization and histopathological type of STS. In total 434 histopathologically verified STS cases and 948 controls were included. Anatomical tumour localization was assessed by scrutinizing medical records for all cases. In the analysis stratification was made for age, vital status and study. Significantly increased risks were obtained for exposure to phenoxyacetic... (More)

In four previous case-control studies we have shown an association between exposure to phenoxyacetic acids or chlorophenols and soft-tissue sarcoma (STS). These chemicals are contaminated by dioxins and dibenzofurans, some of which are known carcinogens in experimental animals. In a meta-analysis of our four studies we studied such exposure including the relation to tumour localization and histopathological type of STS. In total 434 histopathologically verified STS cases and 948 controls were included. Anatomical tumour localization was assessed by scrutinizing medical records for all cases. In the analysis stratification was made for age, vital status and study. Significantly increased risks were obtained for exposure to phenoxyacetic acids and chlorophenols, odds ratios 2.7 and 3.3, 95% confidence intervals 1.9-4.7 and 1.8-6.1, respectively. The increased risk was independent of histopathological subtype and anatomical site although especially high odds ratios were obtained for body sites close to areas where dermal contact may occur in sprayers. Phenoxyacetic acids and chlorophenols with their contaminating dioxins and dibenzofurans should be regarded as carcinogenic for STS regardless of tumour localization and histopathological type.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Histopathology, Pesticides, Soft-tissue sarcoma, Tumour localization
in
International Journal of Oncology
volume
6
issue
4
pages
847 - 851
publisher
Spandidos Publications
external identifiers
  • scopus:0028963447
ISSN
1019-6439
language
English
LU publication?
yes
id
2870f1d1-03e9-40c0-80a0-9b95c401ada9
date added to LUP
2020-02-18 17:18:49
date last changed
2021-08-22 03:58:33
@article{2870f1d1-03e9-40c0-80a0-9b95c401ada9,
  abstract     = {{<p>In four previous case-control studies we have shown an association between exposure to phenoxyacetic acids or chlorophenols and soft-tissue sarcoma (STS). These chemicals are contaminated by dioxins and dibenzofurans, some of which are known carcinogens in experimental animals. In a meta-analysis of our four studies we studied such exposure including the relation to tumour localization and histopathological type of STS. In total 434 histopathologically verified STS cases and 948 controls were included. Anatomical tumour localization was assessed by scrutinizing medical records for all cases. In the analysis stratification was made for age, vital status and study. Significantly increased risks were obtained for exposure to phenoxyacetic acids and chlorophenols, odds ratios 2.7 and 3.3, 95% confidence intervals 1.9-4.7 and 1.8-6.1, respectively. The increased risk was independent of histopathological subtype and anatomical site although especially high odds ratios were obtained for body sites close to areas where dermal contact may occur in sprayers. Phenoxyacetic acids and chlorophenols with their contaminating dioxins and dibenzofurans should be regarded as carcinogenic for STS regardless of tumour localization and histopathological type.</p>}},
  author       = {{Hardell, L. and Eriksson, M. and Degerman, A.}},
  issn         = {{1019-6439}},
  keywords     = {{Histopathology; Pesticides; Soft-tissue sarcoma; Tumour localization}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{4}},
  pages        = {{847--851}},
  publisher    = {{Spandidos Publications}},
  series       = {{International Journal of Oncology}},
  title        = {{Meta-analysis of four Swedish case-control studies on exposure to pesticides as risk-factor for soft-tissue sarcoma including the relation to tumour localization and histopathological type}},
  volume       = {{6}},
  year         = {{1995}},
}