What're the risk factors for mesothelioma?
According to the American Cancer Society, the main risk factors for malignant mesothelioma is exposure to asbestos. Other risk factors include radiation, zeolite, tobacco, and SV40 Virus. Below is an article cited from the ACS website.
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Asbestos: The main risk factor for developing mesothelioma is exposure to asbestos. Asbestos refers to a family of fibrous minerals made of silicate. Asbestos was once used in many products such as insulation, floor tiles, door gaskets, soundproofing, roofing, patching compounds, fireproof gloves and ironing board covers, and even brake pads. When asbestos fibers are inhaled, most are cleared in the nose, throat, trachea (windpipe), or bronchi (large breathing tubes of the lungs). Fibers are cleared by sticking to mucus inside the air passages and being coughed up or swallowed. The long, thin, fibers are less readily cleared, and they may reach the ends of the small airways and penetrate into the pleural lining of the lung and chest wall. These fibers may then directly injure mesothelial cells of the pleura, and eventually cause mesothelioma.
Asbestos fibers can also damage cells of the lung and result in asbestosis (formation of scar tissue in the lung), and/or lung cancer. The risk of lung cancer among people exposed to asbestos is increased by 7 times, compared with the general population. Indeed, asbestosis, mesothelioma, and lung cancer are the 3 most frequent causes of death and disease among people with heavy asbestos exposure. Peritoneal mesothelioma, which forms in the abdomen, may result from coughing up and swallowing inhaled asbestos fibers. Cancers of the larynx, pancreas, esophagus, colon, and kidney may also come from asbestos exposure, but the increased risk is small.
The risk of developing a mesothelioma is related to how much asbestos a person was exposed to and how long this exposure lasted. People exposed at an early age, for a long period of time, and at higher levels are most likely to develop this cancer. Mesotheliomas take a long time to develop. The time between first exposure to asbestos and diagnosis of mesothelioma is usually between 20 and 50 years.
Radiation: There have been a few published reports of pleural and peritoneal mesotheliomas that developed following exposure to thorium dioxide (Thorotrast). This material was used in the past by doctors for certain x-ray tests. Because Thorotrast was found to cause cancers, it has not been used for many years.
Zeolite: This is a silicate mineral, chemically related to asbestos, common in the soil of the Anatoli region of Turkey. Many cases of mesothelioma have been described in this region and may have been caused by this mineral.
Tobacco: Although tobacco smoking has not been associated with the development of mesotheliomas, the combination of smoking and asbestos exposure greatly increases the risk of lung cancer. Asbestos workers who also smoke have a lung cancer risk 50 to 90 times greater than that of the general population. More asbestos workers die of lung cancer than of mesothelioma.
Polio vaccines and the SV40 virus: Some recent studies have raised the possibility that infection with simian virus 40 (SV40) might increase a person's risk of developing mesothelioma. Some injectable polio vaccines prepared between 1955 and 1963 were contaminated with SV40. About 10-30 million people were probably exposed to the virus. More recently, it has been reported that a virus (SV40) contaminating some polio vaccine preparations may well be associated with mesothelioma, as some DNA sequences of the virus are sometimes found in cancerous mesothelial cells. These vaccine preparations had been produced in 1954, some eight years before SV40 was first isolated, and had been prepared by growing polio virus in cell cultures from rhesus monkey kidney cells. As a result, millions of people have been injected with SV40-contaminated polio vaccines. |
