Asbestos fibre content of lungs with mesotheliomas in Osaka, Japan: a preliminary report

IARC Sci Publ. 1989:(90):438-43.

Abstract

That crocidolite and amosite are both associated with the development of mesothelioma is now well established, but earlier studies have failed to find an excess of chrysotile in lungs with mesotheliomas as compared with the amounts in lungs of unaffected controls. In an attempt to clarify the importance of fibre type in tissue, an examination of a series of mesotheliomas is being undertaken in Osaka, Japan. A total of 23 mesotheliomas and 5 rejected cases reviewed by the Osaka Mesothelioma Panel were examined for the types of asbestos and semiquantitative fibre content by means of a transmission electron microscope equipped with energy-dispersive X-ray analyser. Asbestos fibres were detected in 19 of the 23 mesotheliomas (21 pleura, 1 pericardium, 1 peritoneum; 19 males, 4 females). Amphibole fibres were found in 13 cases. Five pleural and one peritoneal mesothelioma were found to have only chrysotile fibres. One female pleural mesothelioma with neighbourhood exposure had short chrysotile fibres. Among the 5 rejected cases, only one case with occupational exposure had both chrysotile and amosite fibres. A group of 17 controls were also examined and asbestos fibres were found in 5. Our data, while not definitive, suggest that mesotheliomas can be induced in humans, not only by crocidolite and amosite, but also by chrysotile, though possibly to a lesser extent.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Asbestos / analysis*
  • Asbestos, Amphibole
  • Asbestos, Serpentine
  • Female
  • Heart Neoplasms / analysis
  • Humans
  • Lung / analysis*
  • Male
  • Mesothelioma / analysis*
  • Mining
  • Occupational Diseases / metabolism
  • Particle Size
  • Peritoneal Neoplasms / analysis
  • Pleural Neoplasms / analysis
  • Silicon Dioxide / analysis

Substances

  • Asbestos, Amphibole
  • Asbestos, Serpentine
  • Asbestos
  • Silicon Dioxide