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Analysis of Histopathological Findings of Lung Carcinoma in Czech Black Coal Miners in Association with Coal Workers’ Pneumoconiosis

Bibliographic Data

ID15465274
AuthorsHana Tomaskova (0000-0002-9608-1276, University of Ostrava, corresponding author), Jaroslav Horáček (0000-0002-0672-4339, University of Ostrava), Hana Šlachtová (0000-0001-7939-8899, University of Ostrava), Anna Šplíchalová (Public Health Institute Ostrava), Petra Riedlová (0000-0001-7582-6307, University of Ostrava), Andrea Dalecká (0000-0002-9808-7444, University of Ostrava), Zdeněk Jirák (University of Ostrava), Rastislav Maďar (0009-0008-7719-310X, University of Ostrava)
Year2022
Volume19
Issue2
Pages710-710
Publication date2022-01-09
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19020710
OpenAlexW4205441249
LanguageEN
Citations received1
References cited23

Coal miners with coal workers’ pneumoconiosis (CWP, J60 according to ICD-10) were previously found to have a significantly higher risk of lung carcinoma compared to the general male population. The presented study aimed to analyze the (i) incidence of lung carcinoma in miners, (ii) histopathological findings in cohorts with and without CWP, and (iii) effect of smoking cessation on the histopathological profile. Analyzed cohorts consisted of miners with (n = 3476) and without (n = 6687) CWP. Data on personal and working history obtained from the medical records were combined with information on lung cancer from the Czech Oncological Register and histopathological findings. Statistical analysis was performed using non-parametric tests and the incidence risk ratio at the significance level of 5%. In 1992–2015, 180 miners (2.7%) without CWP and 169 (4.9%) with CWP, respectively, were diagnosed with lung carcinoma. The risk of lung cancer in miners with CWP was 1.82 (95% CI: 1.48–2.25) times higher than in those without CWP. Squamous cell carcinoma (37%) was the most common histopathological type, followed by adenocarcinoma (22%) and small cell carcinoma (21%). A statistically significant difference between the cohorts (p = 0.003) was found in the histopathological subtypes, with the incidence of small cell carcinoma being 2 times higher in miners without CWP than in those with CWP. Only a few individuals with lung carcinoma were non-smokers. The incidence of small cell carcinoma, which is strongly associated with smoking, is significantly higher in miners without CWP. Smoking constitutes the most important risk factor for developing lung carcinoma even in that cohort. However, CWP remains a very important risk factor

Adenocarcinoma · Cancer · Carcinoma · Environmental health · Incidence (geometry · Lung cancer · Pathology · Pneumoconiosis · Population · Small Cell Lung Carcinoma · Small-cell carcinoma · Medicine · Occupational and environmental lung diseases · Pleural and Pulmonary Diseases · Radiation Dose and Imaging · Internal Medicine

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  • Outdoor Particulate Matter Exposure and Lung Cancer

    Open Access•Ghassan B Hamra, Neela Guha et al.•Environmental Health Perspectives•2014

  • Mortality in Miners with Coal-Workers’ Pneumoconiosis in the Czech Republic in the Period 1992–2013

    Open Access•Hana Tomaskova, Anna Šplíchalová et al.•International Journal of…•2017

Citations per year0.33
Citation span2023 - 2023 (1)
Highly citedNo

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