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combined with the incidence in the rats dying spontaneously or euthanized when moribund, a statistically<br />

significant increase also occurs in females exposed to 33 ppm (p < 0.01) and 100 ppm (p < 0.001)<br />

(Table 3). A significant increase was not observed in males. A mortality-adjusted trend analysis<br />

revealed a significant positive trend for females (p < 0.005) and males (p < 0.05). The time to first<br />

tumor was not significantly decreased for MNCL in the exposed rats, but trend analysis indicated earlier<br />

tumor development.<br />

Table 3:<br />

Tumor incidences in F344 rats exposed to ethylene oxide which died spontaneously,<br />

were killed when moribund, or were killed after 24 months of exposure (adapted from<br />

Snellings et al., 1981 and cited in US EPA, 1985).<br />

Sex, Tumor type<br />

ppm ethylene oxide<br />

C1 C2 10 33 100<br />

spleen mononuclear cell<br />

leukemia<br />

males 20/80 (25%) 18/80 (23%) 21/80 (26%) 23/80 (29%) 25/80 (31%)<br />

females 9/80 (11%) 13/76 (17%) 14/80 (18%) 24/80 a (30%) 27/80 b (34%)<br />

peritoneal mesothelioma<br />

males 2/80 (3%) 1/80 (1%) 3/80 (4%) 6/80 c (8%) 21/80 d (26%)<br />

C1, C2 control groups<br />

a<br />

p < 0.01 compared to C1 and combined controls, p < 0.05 compared to C2<br />

b<br />

p < 0.001 compared to C1 and combined controls, p < 0.05 compared to C2<br />

c<br />

p < 0.001 compared to C1, C2 and combined controls<br />

d<br />

not significant compared to C1 or C2; p < 0.05 compared to combined controls<br />

Note: These data are from US EPA (1985); US EPA questioned whether microscopic examination of<br />

all tissues or only tissues with gross lesions was performed on animals that died spontaneously or were<br />

killed when moribund. In<strong>format</strong>ion from Snelling et al. (1984) indicates that histopathology was<br />

performed on all tissues from these animals.<br />

The increased incidence of peritoneal mesotheliomas observed in males treated with ethylene oxide for<br />

24 months (Table 2) was not statistically significant; however, when the rats that died spontaneously or<br />

were euthanized when moribund are included, a statistically significant increase (p < 0.001) for the<br />

high-dose group compared with controls was observed (Table 3, data from US EPA, 1985). A<br />

mortality-adjusted trend analysis showed a highly significant relationship (p < 0.005) between ethylene<br />

oxide exposure and induction of peritoneal mesotheliomas. Snellings et al. state that this observation<br />

indicates that exposure to ethylene oxide was associated with this earlier occurrence of mesotheliomas.<br />

Although the incidence of pituitary adenomas was not significantly increased in either sex, exposure to<br />

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