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world cancer report - iarc

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Agent Cancer site/<strong>cancer</strong> Main industry/use<br />

Acrylonitrile Lung, prostate, lymphoma Plastics, rubber, textiles, monomer<br />

Benz[a]anthracene Lung, skin Combustion fumes<br />

Benzidine-based dyes Bladder Paper, leather, textile dyes<br />

Benzo[a]pyrene Lung, skin Combustion fumes<br />

1,3-Butadiene Leukaemia, lymphoma Plastics, rubber, monomer<br />

Captafol - Pesticide<br />

Chlorinated toluenes (trichlorobenzene, Lung Chemical intermediates<br />

benzal chloride, benzyl chloride, benzoyl chloride)<br />

para-Chloro-ortho-toluidine(and its strong acid salts) Bladder Dye/pigment manufacture, textiles<br />

4-Chloro-ortho-toluidine Bladder Dye/pigment manufacture, insecticide<br />

Creosotes Skin Wood preservation<br />

Dibenz[a,h]anthracene Lung, skin Combustion fumes<br />

Diethyl sulfate - Chemical intermediate<br />

Dimethylcarbamoyl chloride - Chemical intermediate<br />

Dimethyl sulfate - Chemical intermediate<br />

Epichlorohydrin - Plastics/resins monomer<br />

Ethylene dibromide - Chemical intermediate, fumigant, fuels<br />

Formaldehyde Nasopharynx Plastics, textiles, laboratory agent<br />

Glycidol - Chemical intermediate, sterilising agent<br />

4,4'-Methylenebis(2-chloroaniline) (MOCA) Bladder Rubber manufacture<br />

Methyl methanesulfonate - Laboratory research<br />

ortho-Toluidine Bladder Dye/pigment manufacture<br />

Polychlorinated biphenyls Liver, bile ducts, leukaemia, lymphoma Electrical components<br />

Styrene oxide - Plastics, chemical intermediate<br />

Tetrachloroethylene Oesophagus, lymphoma Solvent, dry cleaning<br />

Trichloroethylene Liver, lymphoma Solvent, dry cleaning, metal<br />

Tris(2,3-dibromopropyl) phosphate - Plastics, textiles, flame retardant<br />

Vinyl bromide - Plastics, textiles, monomer<br />

Table 2.8 Chemicals classified as probably carcinogenic to humans (IARC Group 2A) for which exposures are mostly occupational..<br />

chemical or physical carcinogenic<br />

agents and associating these agents<br />

with specific occupations and industries<br />

is complicated by a number of factors:<br />

- Information on industrial processes<br />

and consequent exposures is frequently<br />

poor, and does not allow a complete<br />

evaluation of the impact of specific<br />

exposures in different occupations or<br />

industries;<br />

- Exposure to chemicals known to present<br />

a carcinogenic hazard, such as vinyl<br />

chloride monomer and benzene, may<br />

occur at markedly different levels in different<br />

occupational situations;<br />

- Changes in work practice occur over<br />

time, either because identified carcinogenic<br />

agents are replaced by other<br />

agents or (more frequently) because<br />

new industrial processes or materials<br />

are introduced;<br />

- Any list of occupations involving presumed<br />

exposure to an agent is likely to<br />

include only some of the situations in<br />

which a particular carcinogen may<br />

occur;<br />

- Finally, the presence of a carcinogenic<br />

chemical in an occupational situation<br />

does not necessarily mean that workers<br />

are exposed to it. Conversely, the<br />

absence of identified carcinogens from<br />

a particular workplace does not exclude<br />

the possibility of a hazard and/or an as<br />

yet unidentified cause of <strong>cancer</strong>.<br />

Particular chemicals and exposures<br />

It is not possible to review here the carcinogenicity<br />

data for all recognized<br />

occupational carcinogens. Limited information<br />

on certain of these hazards is<br />

summarized below [4,5].<br />

Aromatic amines<br />

Many members of this class of compounds<br />

are established or implicated as<br />

causing occupational <strong>cancer</strong>. By the mid-<br />

1950s, studies of workers in the chemical<br />

industry revealed that benzidine and<br />

2-naphthylamine caused bladder <strong>cancer</strong>.<br />

It was also recognized about this time<br />

that rubber workers were subject to this<br />

malignancy, attributable to aromatic<br />

amines and 4-aminobiphenyl in particular.<br />

Later studies on occupational exposure<br />

to aromatic amines have not definitively<br />

established single compounds as<br />

carcinogenic, in many cases because<br />

Occupational exposures 35

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