Summary
A report is given of the clinical and autopsy findings of two men who died from malignant liver neoplasm following occupational exposure to vinyl chloride. The first patient was a 44-year-old man with an hemangiosarcoma of the liver, the second patient a 67-year-old man with an hepatocellular carcinoma. So far an hepatocellular carcinoma due to vinyl chloride has not yet been observed in man. Its occurrence, however, has been suggested from the results of animal experiments. The connection of hepatocellular carcinoma with exposure to vinyl chloride is discussed.
Zusammenfassung
Es wird über zwei bösartige Lebererkrankungen nach beruflicher Exposition von Vinylchlorid berichtet. Dabei handelt es sich um ein typisches Haemangiosarkom bei einem 44 Jahre und ein hepatocelluläres Carcinom bei einem 67 Jahre alt gewordenen Chemiearbeiter. Bis jetzt ist ein hepatocelluläres Carcinom nach gesicherter Vinylchloridexposition beim Menschen nicht beobachtet worden. Hepatocelluläre Carcinome nach Vinylchloridexposition waren jedoch aus tierexperimentellen Untersuchungen bekannt und ihr Vorkommen auch beim Menschen vermutet worden.
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References
Block, J.B.: Angiosarcoma of the liver following vinyl chloride exposure. J. Amer. med. Ass. 229, 53–54 (1974)
Cordier, J.M., Fievez, C., Lefevre, M.J., Sevrin, A.: Acroosteolyse et lesions cutanées associées chez deux ouvriers affectés au nettoyage d'autoclaves. Cah. Méd. Travail 4, 3–39 (1966)
Creech, J.L., Jr., Johnson, M.N.: Angiosarcoma of liver in the manufacture of polyvinyl chloride. J. occup. Med. 16, 150–151 (1974)
Creech, J.L., Jr., Makk, L.: Liver disease among polyvinyl chloride production workers. Ann. N.Y. Acad. Sci. 246, 88–94 (1975)
Edmonds, L.D., Falk, H., Nissim, J.E.: Congenital malformations and vinyl chloride. Lancet 1975 II, 1098
Falk, H., Creech, J.L., Jr., Heath, C.W., Jr., Johnson, M.N., Key, M.M.: Hepatic disease among workers at a vinyl chloride polymerization plant. J. Amer. med. Ass. 230, 59–63 (1974)
Gedigk, P., Müller, R., Bechtelsheimer, H.: Alterations of liver among polyvinyl chloride production workers. 10th Internat. Congress, Internat. Academy of Pathology, Hamburg, Germany (1974)
Gössner, W.: Personal communication (1976)
Gordon, D.E., Thomas, L.B., Kent, G., Calandra, J., Bahu, R., Popper, H.: Hepatic angiosarcoma in man and rodents following prolonged exposure to vinyl chloride. Gastroenterology 67, 794 (1974)
Harris, D.K., Adams, W.G.F.: Acroosteolysis occurring in men engaged in the polymerization of vinyl chloride. Brit. med. J. 3, 712–714 (1967)
Jühe, S., Lange, C.E., Stein, G., Veltman, G.: Über die sog. Vinylchlorid-Krankheit. Berufsdermatosen 22, 4–22 (1974)
Keplinger, M.L., Goode, J.W., Gordon, D.E., Calandra, J.C.: Interim results of exposure of rats, hamsters and mice to vinyl chloride. Ann. N.Y. Acad. Sci. 246, 219–224 (1975)
Lange, C.E., Jühe, S., Stein, G., Veltman, G.: Die sogenannte Vinylchlorid-Krankheit — eine berufsbedingte Systemsklerose? Int. Arch. Arbeitsmed. 32, 1–32 (1974)
Lange, C.E., Jühe, S., Veltman, G.: Über das Auftreten von Angiosarkomen der Leber bei zwei Arbeitern der PVC-herstellenden Industrie. Dtsch. med. Wschr. 99, 1598–1599 (1974)
Lee, F.I., Harry, D.S.: Angiosarcoma of the liver in a vinyl-chloride worker. Lancet 1974 I, 1316–1318
Makk, L., Creech, J.L., Jr., Whelan, J.G., Johnson, M.N.: Liver damage and angiosarcoma in vinyl chloride workers. J. Amer. med. Ass. 230, 64–68 (1974)
Maltoni, C., Lefemine, G.: Carcinogenicity bioassays of vinyl chloride: current results. Ann. N.Y. Acad. Sci. 246, 195–217 (1975)
Marsteller, H.J., Lelbach, W.K., Müller, R., Jühe, S., Lange, C.E., Rohner, H.G., Veltman, G.: Chronisch-toxische Leberschäden bei Arbeitern in der PVC-Produktion. Dtsch. med. Wschr. 98, 2311–2314 (1973)
Monson, R.R., Peters, J.M., Johnson, M.N.: Proportional mortality among vinyl chloride workers. Lancet 1974 II, 397–398
Nicholson, W.J., Hammond, E.C., Seidman, H., Selikoff, I.J.: Mortality experiences of a cohort of vinyl chloride-polyvinyl chloride workers. Ann. N.Y. Acad. Sci. 246, 225–230 (1975)
Popper, H., Thomas, L.B.: Alteration of liver and spleen among workers exposed to vinyl chloride. Ann. N.Y. Acad. Sci. 246, 172–194 (1975)
Schaffner, F., Sherlock, S., Leevy, C.M.: The liver and its diseases. Stuttgart: Georg Thieme 1974
Schweitzer, G.E.: Environmental concerns beyond the workplace. Ann. N.Y. Acad. Sci. 246, 296–302 (1975)
Suciu, I., Drejman, I., Valaskai, M.: Contributii la studiul imbolnavirilor produse de clorura de vinil. Med. interna (Buc.) 15, 967–978 (1963)
Suciu, I., Drejman, I., Valaskai, M.: Etude des maladies dues au chlorure de vinyle. Med. Lavoro 58, 261–271 (1967)
Tabershaw, I.R., Gaffey, W.R.: Mortality study of workers in the manufacture of vinyl chloride and its polymers. J. occup. Med. 16, 509–518 (1974)
Thomas, L.B., Popper, H.: Pathology of angiosarcoma of the liver among vinyl chloride-polyvinyl chloride workers. Ann. N.Y. Acad. Sci. 246, 268–277 (1975)
Thomas, L.B., Popper, H., Berk, P.D., Selikoff, I., Falk, H.: Vinyl-chloride-induced liver disease. From idiopathic portal hypertension (Banti's Syndrom) to angiosarcomas. New Engl. J. Med. 292I, 17–22 (1975)
Torkelson, T.R., Oyen, F., Rowe, V.K.: The toxicity of vinyl chloride as determined by repeated exposure of laboratory animals. Amer. industr. Hyg. Ass. J. 22, 354–361 (1961)
Veltman, G., Lange, C.E., Jühe, S., Stein, G., Bachner, U.: Clinical manifestations and course of vinyl chloride disease. Ann. N.Y. Acad. Sci. 246, 6–17 (1975)
Viola, P.L., Bigotti, A., Caputo, A.: Oncogenic response of rat skin, lungs and bones to vinyl chloride. Cancer Res. 32, 516–522 (1971)
Wilson, R.H., McCormick, W.E., Tatum, C.F., Creech, J.L.: Occupational acroosteolysis. J. Amer. med. Ass. 201, 577–581 (1967)
Zimmermann, H., Eck, H.: Zur pathologischen Anatomie der Vinylchlorid-Krankheit. Virchows Arch., Abt. A Path. Anat. and Histol. 368, 51–59 (1975)
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Gokel, J.M., Liebezeit, E. & Eder, M. Hemangiosarcoma and hepatocellular carcinoma of the liver following vinyl chloride exposure. Virchows Arch. A Path. Anat. and Histol. 372, 195–203 (1976). https://doi.org/10.1007/BF00433279
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DOI: https://doi.org/10.1007/BF00433279