Skip to main content
Log in

Malignant tumors after chronic exposure to vinyl chloride

  • Guest Editorial
  • Published:
Journal of Cancer Research and Clinical Oncology Aims and scope Submit manuscript

Summary

Correlations between exposure to vinyl chloride and the development of malignant tumors in the liver have been known since 1974 and have been confirmed by many an experimental investigation. Based on the evaluation of mortality statistics from nine different countries an increased incidence of malignant tumors of the lung, the gastrointestinal tract, and the central nervous system (CNS), and of malignant lymphomas is documented in connection with exposure to vinyl chloride. Statistically significant increases, however, are only found in the incidence of malignant liver tumors. Metabolism and toxicology of vinyl chloride are discussed in detail.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • Anderson HA, Snyder J, Lewinson T, Woo C, Lilis R, Selikoff IJ (1978) Levels of CEA among vinyl chloride and polyvinyl chloride workers. Cancer 42 [Suppl 3]:1560–1567

    Google Scholar 

  • Andrews AW, Zanistowski ES, Valentine CR (1976) A comparison of the mutagenic properties of vinyl chloride and methyl chloride. Mutat Res 40:273–276

    Google Scholar 

  • Barnes AW (1976) Vinyl chloride and the production of PVC. Proc R Soc Med 69:277–281

    Google Scholar 

  • Bartsch H, Malaveille C, Montesano R (1975) Human, rat and mouse liver-mediated mutagenicity of vinyl chloride in S. typhimurium strains. Int J Cancer 15:429–437

    Google Scholar 

  • Basler A, Röhrborn G (1980) Die Induktion von strukturellen Chromosomenaberrationen und Schwester-Chromatid-Austauschen (SCE) im Knochenmark des Chinesischen Hamsters nach Begasung mit Vinylchlorid. Statusseminar der Gesellschaft für Strahlen-und Umweltforschung mbH, München-Neuherberg, 8.–9. 11. 1979, München

  • Biersack HJ, Lange CE, Ebinger H, Marsteller HJ, Lelbach WK, Veltman G, Winkler C (1975) Sequenzszintigraphische Untersuchungen von Leber und Milz bei Patienten mit Vinylchloridkrankheit. Dtsch Med Wochenschr 100:615–617

    Google Scholar 

  • Bolt HM (1978) Pharmacokinetics of vinyl chloride. Gen Pharmacol 9:91–95

    Google Scholar 

  • Bolt HM, Kappus H, Buchter A, Bolt W (1976) Disposition of (1,2-14C)-vinyl chloride in the rat. Arch Toxicol 35:153–162

    Google Scholar 

  • Bolt HM, Laib RJ, Kappus H, Buchter A (1977): Pharmacokinetics of vinyl chloride in the rat. Toxicology 7:179–188

    Google Scholar 

  • Buchter A, Bolt HM, Filser J, Georgens HW, Laib RJ, Bolt W (1978): Pharmakokinetik und Karzinogenese von Vinylchlorid. Verh Dtsch Ges Arbeitsmed 18:11–124

    Google Scholar 

  • Byrén D, Holmberg B (1975) Two possible cases of angiosarcoma of the liver in a group of Swedish vinyl chloride-polyvinyl chloride workers. Ann N Y Acad Sci 246:249–250

    Google Scholar 

  • Byrén D, Engholm G, Englund A, Westerholm P (1976) Mortality and cancer morbidity in a group of Swedish VCM and PVC production workers. Environ Health Perstect 17:167–170

    Google Scholar 

  • Casterline CL, Casterline PF, Javques DA (1977) Squamous cell carcinoma of the buccal mucosa associated with chronic oral polyvinyl chloride exposure: Report of a case. Cancer 39:1686–1688

    Google Scholar 

  • Chiazze L jr, Nichols WE, Wong O (1977) Mortality among employees of PVC fabricators. J Occupation Med 19:623–628

    Google Scholar 

  • Creech JLIR, Johnson MN (1974) Angiosarcoma of the liver in the manufacture of polyvinyl chloride. J Occup Med 16:150–151

    Google Scholar 

  • De Meester C, Duverger-van Bogaert M, Lambotte-van de Paer M, Roberfroid M, Poncelet F, Mercier M (1980) Mutagenicity of vinyl chloride in the Ames test. Possible artifacts related to experimental conditions. Mutat Res 77:175–179

    Google Scholar 

  • Ducatman A, Hirschkorn K, Selikoff IJ (1975) Vinyl chloride exposure and human chromosome aberrations. Mutat Res 31:163–168

    Google Scholar 

  • Duck BW, Carter JT, Coombes EJ (1975) Mortality studies of workers in a polyvinyl production plant. Lancet II:1197–1199

    Google Scholar 

  • Englund A, Holmberg B (1976) Recent achievenents and research initiated in the Swedish plastics and rubber industries. Environ Health Perspect 17:237–239

    Google Scholar 

  • Filser JG, Bolt HM (1979) Pharmacokinetics of halogenated ethylenes in rats. Arch Toxicol 42:123–136

    Google Scholar 

  • Fleig I, Thies AM (1978) External chromosome studies on persons and animals with VC illness; (Abstract). Mutat Res 53:187

    Google Scholar 

  • Fox AJ, Collier PF (1977) Mortality experience of workers exposed to vinyl chloride monomer in the manufacture of polyvinyl chloride in Great Britain. Br J Ind Med 34:1–10

    Google Scholar 

  • Funes-Cravioto F, Lambert B, Lindstein J, Ehrenberg L, Natarjan AT, Osterman-Golkar S (1975) Chromosome aberrations in workers exposed to vinyl chloride. Lancet I:459

    Google Scholar 

  • Garro AJ, Guttenplan JB, Milvy P (1976) Vinyl chloride-dependent mutagenesis: effects of liver extracts and free radicals. Mutat Res 38:81–88

    Google Scholar 

  • Gedigk P, Müller R, Bechtelsheimer H (1975) Morphology of liver damage among polyvinyl chloride workers. A report on 51 cases. Ann N Y Acad Sci 246:278–785

    Google Scholar 

  • Gehring PJ, Watanabe PG, Park CN (1978) Resolution of dose-response toxicity data for chemicals requiring metabolic activation: Example: Vinyl chloride. Toxicol Appl Pharmacol 44:581–591

    Google Scholar 

  • Gehring PJ, Watanabe PG, Park CN (1979) Risk of angiosarcoma in workers exposed to vinyl chloride as predicted from studies in rats. Toxicol Appl Pharmacol 49:15–21

    Google Scholar 

  • Green T, Hathaway DE (1975) The biological fate in rats of vinyl chloride in relation to its oncogenicity. Chem Biol Interact 11:545–562

    Google Scholar 

  • Greim H, Bonse G, Radwan Z, Reichert D, Henschler D (1975) Mutagenicity in vitro and potential carcinogenicity of chlorinated ethylenes as a function of metabolic oxirane formation. Biochem Pharmacol 24:2013–2017

    Google Scholar 

  • Guengerich FP, Crawford WM, Watanabe PG (1979) Activation of vinyl chloride to covalently bound metabolites: Role of 2-chloroethylene oxide and 2-chloroacetaldehyde. Biochemistry 18:5177–5182

    Google Scholar 

  • Hansteen JL, Hillestad L, Thiis-Evensen E, Heldaas SS (1978) Effects of vinyl chloride in man. A cytogenetic follow-up study. Mutat Res 51:271–278

    Google Scholar 

  • Heath CW, Falk H, Creech JL (1975) Characteristics of cases of angiosarcoma of the liver among vinyl chloride workers in the US. Ann N Y Acad Sci 246:231–236

    Google Scholar 

  • Heath CW, Dumont CR, Gamble J, Waxweiler RJ (1977) Chromosomal damage in men occupationally exposed to vinyl chloride monomer and other chemicals. Environ Res 14:58–72

    Google Scholar 

  • Hefner RE, Watanabe PG, Gehring PJ (1975) Preliminary studies of the fate of inhaled vinyl chloride monomer in rats. Ann N Y Acad Sci 246:135–148

    Google Scholar 

  • Hubermann E, Bartsch H, Sachs L (1975) Mutation induction in Chinese hamster V 79 cells by two vinyl chloride metabolites, chlorethylene oxide and 2-chloroacetaldehyde. Int J Cancer 16:639–644

    Google Scholar 

  • IARC (1978) IARC working group on the evaluation of the carcinogenic risk of chemicals to humans. IARC, Vol 19, Lyon

    Google Scholar 

  • Infante PF, Wagoner JK, McMichael AJ, Waxweiler RJ, Falk H (1976) Genetic risks of vinyl chloride. Lancet I:734–735

    Google Scholar 

  • Juehe S, Lange CE (1972) Sklerodermieartige hautveränderungen, Raynaud-Syndrom und Acroosteolysen bei Arbeiten der PVC-herstellenden Industrie. Dtsch Med Wochenschr 97:1922–1923

    Google Scholar 

  • Kappus H, Bolt HM, Buchter A, Bolt W (1975) Rat liver microsomes catalyse covalent binding of 14C-vinyl chloride to macromolecules. Nature 257:134–135

    Google Scholar 

  • Lange CE, Juehe S, Stein G, Veltman G (1975) Further results in polyvinyl chloride production workers. Ann N Y Acad Sci 246:18–21

    Google Scholar 

  • Lange CE, Juehe S, Veltman G (1974) Über das Auftreten von Angiosarkomen der Leber bei zwei Arbeitern der PVC-herstellenden Industrie. Dtsch Med Wochenschr 99:1598–1599

    Google Scholar 

  • Lefaux R (1966) Chemie und Toxikologie der Kunststoffe. Krausskopf-Verlag, Main

    Google Scholar 

  • Lilis R, Anderson H, Nicholson WJ, Daum S, Fischbein AS, Selikoff IJ (1975) Prevalence of diseases among vinyl chloride and polyvinyl chloride workers. Ann N Y Acad Sci 246:22–41

    Google Scholar 

  • Lilis R, Anderson H, Miller A, Selikoff IJ (1976) Pulmonary changes among chloride polymerization workers. Chest 68 [Suppl 2]:299–303

    Google Scholar 

  • Lloyd JW (1974) Angiosarcoma of the liver in vinyl chloride/polyvinyl chloride workers. J Occup Med 16:809

    Google Scholar 

  • Lloyd JW (1975) Angiosarcoma of the liver in vinyl chloride/polyvinyl chloride workers. J Occup Med 17:333–334

    Google Scholar 

  • Magnusson J, Ramel C (1978) Mutagenic effect of vinyl chloride on Drosophila melanogaster with and without pretreatment with sodium phenobarbiturate. Mutat Res 57:307–312

    Google Scholar 

  • Malaveille C, Bartsch H, Camus AM, Montesano R (1975) Mutagenicity of vinyl chloride, chlorethylene oxide, chloracetaldehyde, and chloroethanol. Biochem Biophys Res Commun 63:363–370

    Google Scholar 

  • Maltoni C, Lefemine G (1975) Carcinogenicity bioassays of vinyl chloride: Current results. Ann N Y Acad Sci 246:195–219

    Google Scholar 

  • McCann J, Simmon V, Streitwieser D, Ames BN (1975) Mutagenicity of chloroacetaldehyde, a possible product of 1,2-dichlorethane (ethylene dichloride), vinyl chloride, and cyclophosphamide. Proc Natl Acad Sci USA 72:3190–3193

    Google Scholar 

  • Miller A (1975) Pulmonary function defects in non-smoking vinyl chloride workers. Environ Health Perspect 11:247–250

    Google Scholar 

  • Miller A, Teirstein AS, Chuang M, Selikoff IJ, Warshaw R (1975) Changes in pulmonary function in workers exposed to vinyl chloride and polyvinyl chloride. Ann N Y Acad Sci 246:42–53

    Google Scholar 

  • Monson RR, Peters JM, Johnson MN (1974) Proportional mortality among vinyl chloride workers. Lancet II:397–398

    Google Scholar 

  • Müller G, Norpoth K, Eckard R (1976) Identification of two urine metabolites of vinyl chloride by GC-MS investigations. Int Arch Occup Environ Health 38:69–75

    Google Scholar 

  • Müller G, Norpoth K, Wickramasinghe RH (1979) An analytical method using GC-MS for the quantitative determination of urinary thiodiglycolic acid. Int Arch Occup Environ Health 44:185–191

    Google Scholar 

  • Müller G, Heger M, Norpoth K (1980) Bestimmung der Hydroxyäthyl-Mercaptursäure im Harn Vinylchlorid-Exponierter. Methodische Erfahrungen und analytische Ergebnisse. Verh Dtsch Ges Arbeitsmed 20:533–536

    Google Scholar 

  • Müller KT, Buchter A, Gross R, Bolt W (1976) Ergebnisse einer Studie an 17 Fällen von Langzeitexposition gegenüber Vinylchlorid. Med Welt 27:21–24

    Google Scholar 

  • Müller R, Bechtelsheimer H, Gedick P, Marsteller HJ, Lelbach WK (1975) Das morphologische Bild der Leberschädigung nach chronischer Vinylchlorid-Exposition. Leber Magen Darm 5:204–208

    Google Scholar 

  • Nicholson WJ, Hammond EC, Seidman H, Selikoff IJ (1975) Mortality experience of a cohort of vinyl chloride-polyvinyl chloride workers. Ann N Y Acad Sci 246:225–230

    Google Scholar 

  • Peter S, Ungvary G (1980) Lack of mutagenic effect of vinyl chloride monomer in the mammalian spot test. Mutat Res 77:193–196

    Google Scholar 

  • Purchase IFH, Richardson CR, Anderson D, Paddle GM, Adams GF (1978) Chromosomal analyses in vinyl chloride-exposed workers. Mutat Res 57:325–334

    Google Scholar 

  • Rannug U, Johannson A, Ramel C, Wachtmeister CA (1974) The mutagenicity of vinyl chloride after metabolic activation. Ambio:194–197

  • Rannug U, Göthe R, Wachtmeister CA (1976) The mutagenicity of chlorethylene oxide, chloracetaldehyde, 2-chloroethanol, and chloracetic acid, conceivable metabolites of the vinyl chloride. Chem Biol Interact 12:251–263

    Google Scholar 

  • Reinl W, Weber H, Greiser E (1979) Erkrankungen durch Vinylchlorid. Jahresbericht der Gewerbeaufsicht des Landes Nordrhein-Westfalen für das Jahr 1978, S 347–377

  • Saric M, Kulcar Z, Zorica M, Gelic I (1976) Malignant tumors of the liver and the lung in an area with a PVC industry. Environ Health Perspect 17:189–192

    Google Scholar 

  • Short RD, Minor JL, Winston JM, Lee CC (1977) A dominant lethal study in male rats after repeated exposures to vinyl chloride or vinylidine chloride. J Toxicol Environ Health 3:965–968

    Google Scholar 

  • Spirtas R, Kaminski R (1978) Angiosarcoma of the liver in vinyl chloride/polyvinyl chloride workers. 1977 update of the NIOSH register. J Occup Med 20:427–429

    Google Scholar 

  • Stafford J (1980) Liver angiosarcoma cases (Review data, 8th Jan. 1980). Imperial Chemistries Industries Ltd Plastics Division

  • Suzuki Y (1978) Pulmonary tumors induced in mice by vinyl chloride monomer. Environ Res 16:285–301

    Google Scholar 

  • Szentesi I, Hornyak E, Ungvary G, Czeizel A, Bognar Z, Timar M (1976) High rate of chromosomal aberration in PVC workers. Mutat Res 37:313–316

    Google Scholar 

  • Tabershaw JR, Gaffey WR (1974) Mortality studies of workers in the manufacture of vinyl chloride and its polymers. J Occup Med 18:509–518

    Google Scholar 

  • Thomas LB, Popper H (1975) Pathology of angiosarcoma of the liver among vinyl chloride-polyvinyl chloride workers. Ann N Y Acad Sci 246:268–277

    Google Scholar 

  • Viola PL, Bigotti A, Caputo A (1971) Oncogenic response of rat skin, lungs, and bones to vinyl chloride. Cancer Res 31:516–522

    Google Scholar 

  • Watanabe PG, McGowan GR, Gehring PJ (1976) Fate of (14C)-vinyl chloride after single oral administration in rats. Toxicol Appl Pharmacoi 36:339–352

    Google Scholar 

  • Waxweiler RJ, Stringer W, Wagoner JK, Jones J, Falk H, Carter C (1976) Neoplastic risk among workers exposed to vinyl chloride. Ann N Y Acad Sci 271:40–48

    Google Scholar 

  • Withey JR (1976) Pharmacodynamics and uptake of vinyl chloride monomer administered by various routes to rats. J Toxicol Environ Health 1:381–394

    Google Scholar 

  • Yllner S (1971) Metabolism of chloracetate-1-14C in the mouse. Acta pharmacol 30:69–80

    Google Scholar 

  • Zajdela F, Croisy A, Barbin A, Malaveille C, Tomatis L, Bartsch H (1980) Carcinogenicity of chlorethylene oxide, an ultimate reactive metabolite of vinyl chloride, and bis-chloromethyl ether after subcutaneous administration, and in initiation-promotion experiments in mice. Cancer Res 40:352–356

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Institute of Industrial Medicine and Silicosis Research

The “Journal of Cancer Research and Clinical Oncology” publishes in loose succession “Editorials” and “Guest Editorials” on current and/or controversial problems in experimental and clinical oncology. These contributions represent exclusively the personal opinion of the author. The Editors Die Zeitschrift “Journal of Cancer Research and Clinical Oncology” bringt in zwangloser Folge “Editorials” und “Guest Editorials” zu aktuellen und/oder kontroversen Problemen der experimentellen und klinischen Onkologie. Diese Beiträge geben ausschließlich die persönliche Meinung des Autors wieder.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Emmerich, K.H., Norpoth, K. Malignant tumors after chronic exposure to vinyl chloride. J Cancer Res Clin Oncol 102, 1–11 (1981). https://doi.org/10.1007/BF00410529

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00410529

Key words

Navigation