Abstract
Epidemiologic evidence on the relationship between chemical pesticides and cancer is reviewed. In animal studies, many pesticides are carcinogenic, (e.g., organochlorines, creosote, and sulfallate) while others (notably, the organochlorines DDT, chlordane, and lindane) are tumor promoters. Some contaminants in commercial pesticide formulations also may pose a carcinogenic risk. In humans, arsenic compounds and insecticides used occupationally have been classified as carcinogens by the International Agency for Research on Cancer. Human data, however, are limited by the small number of studies that evaluate individual pesticides. Epidemiologic studies, although some-times contradictory, have linked phenoxy acid herbicides or contaminants in them with soft tissue sarcoma (STS) and malignant lymphoma; organochlorine insecticides are linked with STS, non-Hodgkin's lymphoma (NHL), leukemia, and, less consistently, with cancers of the lung and breast; organophosphorous compounds are linked with NHL and leukemia; and triazine herbicides with ovarian cancer. Few, if any, of these associations can be considered established and causal. Hence, further epidemiologic studies are needed with detailed exposure assessment for individual pesticides, taking into consideration work practices, use of protective equipment, and other measures to reduce risk.
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Ahlborg UG, Lipworth L, Titus-Ernstoff L, et al. Organo-chlorine compounds in relation to breast cancer, endometrial cancer, and endometriosis: An assessment of the biological and epidemiological evidence. Crit Rev Toxi-col 1995; 25: 463–531.
Axelson O. Pesticides and cancer risks in agriculture. Med Oncol Tumor Pharmacother 1987; 4: 207–17.
Blair A, Malker H, Cantor KP, Burmeister L, Wiklund K. Cancer among farmers. A review. Scand J Work Environ Health 1985; 11: 397–407.
Blair A, Axelson O, Franklin C, et al. Carcinogenic effects of pesticides. In: Baler SR, Wilkinson CF, eds. The Effects of Pesticides in Human Health. Princeton, NJ (USA): Princeton Scientific Pub Co., 1990: Advances in Modern Environmental Toxicology, Vol. XVIII: 201–60.
Blair A, Zahm SH. Cancer among farmers. Occup Med State Art Rev 1991; 6: 335–54.
Bond GG, Bodner KM, Cook RR. Phenoxy herbicides and cancer: Insufficient epidemiologic evidence for a causal relationship. Fund Appl Toxicol 1989; 12: 172–88.
Food and Agriculture Organization of the United Nations. FAO Panel of Experts on Pesticide Residues in Food and the Environment and the WHOExpert Group on Pesticide Residues. Published in FAO plant production and protec-tion papers, e.g., Pesticide residues in food 1993; No. 122. Rome, Italy, 1993.
Flanders DW. Review: Prostate cancer epidemiology. Pros-tate 1984; 5: 621–9.
Hardell L, Eriksson M, Axelson O, Zahm SH. Cancer epidemiology. (Chapter 16) In: Schecter A, ed. Dioxins and Health. New York, NY(USA): Plenum Press, 1994: 525–47.
International Agency for Research on Cancer. Miscellane-ous Pesticides. Lyon, France: IARC, 1983; IARC Monogr Eval Carcinog Risks Humans, Vol. 30.
International Agency for Research on Cancer. Some Ha-logenated Hydrocarbons and Pesticide Exposures. Lyon, France: IARC, 1986; IARC Monogr Eval Carcinog Risks Humans, Vol. 41.
International Agency for Research on Cancer. Overall Evaluations of Carcinogenicity: An Updating of IARC Monographs Volumes 1 to 42. Lyon, France: IARC, 1987; IARC Monogr Eval Carcinog Risks Humans, Supplement 7.
International Agency for Research on Cancer. DDT and Associated Compounds (Review). Occupational Exposures in Insecticide Application, and Some Pesticides. Lyon, France: IARC, 1991; IARC Monogr Eval Carcinog Risks Humans, Vol. 53: 179–249.
International Agency for Research on Cancer. Beryllium, Cadmium, Mercury, and Exposures in the Glass Manufac-turing Industry. Lyon, France: IARC, 1993; IARC Monogr Eval Carcinog Risks Humans, Vol. 58: 119–237.
International Agency for Research on Cancer. Some Indus-trial Chemicals. Lyon, France: IARC, 1994; IARC Monogr Eval Carcinog Risks Humans, Vol. 60.
International Agency for Research on Cancer. Wood Dust and Formaldehyde. Lyon, France: IARC, 1995; IARC Monogr Eval Carcinog Risks Humans, Vol. 62.
International Agency for Research on Cancer. Occupational Cancer in Developing Countries. Lyon, France, 1994; IARC Sci. Pub. No. 129.
Kogevinas M, Saracci R, Winkelmann R, et al. Cancer incidence and mortality in women occupationally exposed to chlorophenoxy herbicides, chlorophenols, and dioxins. Cancer Causes Control 1994; 4: 547–53.
Kogevinas M, Boffetta P, Pearce N. Occupational exposure to carcinogens in developing countries. (Chapter 5) In: Pearce N, Matos E, Vainio H, Boffetta P, Kogevinas M, eds. Occupational Cancer in Developing Countries. Lyon, France: International Agency for Research on Cancer, 1994; IARC Sci. Pub. No. 129: 63–95 (ref. 17).
Lipworth L. Review. Epidemiology of breast cancer. Eur J Cancer Prev 1995; 4: 7–30.
Maroni M, Fait A. Health effects in man from long-term exposure to pesticides. Areview of the 1975–1991 literature. International Centre for Pesticide Safety. Toxicology 1993; 78: 1-104, 151-74.
McDuffie HH. Women at work: Agriculture and pesticides. JOM 1994; 36: 1240–6.
Morrison HI, Wilkins K, Semenciw R, Mao Y, Wigle D. Review. Herbicides and cancer. JNCI 1992; 84: 1866–74.
Pearce N, Reif JS. Epidemiologic studies of cancer in agricultural workers. Am J Ind Med 1990; 18: 133–48.
Schecter A, ed. Dioxins and Health. New York, NY(USA): Plenum Press, 1994.
Sterling TD, Arundel AV. Health effects of phenoxy her-bicides. A review. Scand J Work Environ Health 1986; 12: 161–73.
Swedish National Chemicals Inspectorate, Swedish Envi-ronmental Protection Agency. Alternatives to Persistent Organic Pollutants. The Swedish input to the IFCPS expert meeting on persistent organic pollutants in Manila, The Philippines, 17–19 June 1996. Report 4/96. Swedish National Chemicals Inspectorate, Swedish Environmental Protection Agency. 1996.
Vainio H, Hesso A, Jäppinen P. Chlorinated dioxins and dibenzofurans in the environment — a hazard to public health? Scand J Work Environ Health 1989; 15: 377–82.
Vainio H, Matos E, Kogevinas M. Identification of occupational carcinogens. (Chapter 4) In: Pearce N, Matos E, Vainio H, Boffetta P, Kogevinas M, eds. Occupational Cancer in Developing Countries. Lyon, France: International Agency for Research on Cancer, 1994: IARC Sci. Pub. No. 129: 41–59 (ref. 17).
WHO-EHC (World Health Organization - Environ-mental Health Criteria series) (ICPS, International Programme on Chemical Safety). Mercury; DDT and its Derivates; Arsenic; 2,4-Dichlorophenoxyacetic acid (2,4-D),Geneva, Switzerland: WHO, Series from 1976-.
Zahm SH, Blair A. Carcinogenic Risks From Pesticides. Philadelphia, PA (USA): JB Lippincott Co., 1993: 266–79; General Motors Cancer Research Foundation, Detroit, MI (USA).
Food and Agriculture Organization of the United Nations. International Code of Conduct on the Distribution and Use of Pesticides. Rome, Italy: FAO, 1986: 28. Pesticides and cancer Cancer Causes and Control. Vol 8. 1997 439.33. Codex. Guide to Codex recommendations concerning pest-icide residues. Part 1. General notes and guidelines. The Hague, Codex Alimentarius Commission (Report CAC/PRI-1984), 1984.
Council of Europe. Pesticides — advice and recommenda-tions to be used by national and other authorities as well as manufacturers concerned with the registration of agri-cultural and non-agricultural pesticides, 6 th ed. Strassbourg, 1984: 120.
World Health Organization and United Nation's Environment Programme (WHO and UNEP). Public Health Impact of Pesticides Used in Agriculture. Geneva, Switzerland: WHO, 1990; ISBN 92 4 156139 4.
Hassall KA. The Chemistry of Pesticides: Their Metabolism, Mode of Action and Uses in Crop Protection. Weinheim, Germany: Verlag Chemie, 1982.
Wood McKenzie. Agrochemical Monitor, No. 50. London, UK: Wood McKenzie & Co. Ltd., 1987: 19.
Brouwer FM, Terluin IJ, Godeschalk FE. Pesticides in the EC April 1994. The Hague. The Netherlands: Onder-zoekverslag 121 Agricultural Economics Research Institute (LEI-DLO), 1994.
Oskam AJ, van Zeijts H, Thijssen GJ, Wossink GAA, Vijftigschild R. Pesticide use and pesticide policy in the Netherlands. An economic analysis of regulatory levies in agriculture. Wageningen, The Netherlands: Wageningen Agricultural University 1992.
Edwards CA. Pesticides as environmental pollutants. In: Ekström G, ed. World Directory of Pesticide Control Organisations. Trowbridge, Wiltshire (UK): Redwood Books Ltd,Crop protection publications UK. 1994: 1–23.
Aspelin AL, Grube AH, Torla R. Pesticide industry sales and usage, 1990 and 1991. Market estimates. Washington, DC: Environmental Protection Agency Report, 1992: 1–7.
Salem H, Olajos EJ. Review of pesticides: chemistry, uses and toxicology. Toxicol Ind Health 1988; 4: 291–321.
Jaenson TGT. Alternatives to POP pesticides for control of arthropods of medical and veterinary importance. In: Alternatives to persistent organic pollutants. The Swedish input to the IFCPS expert meeting on persistent organic pollutants in Manila, The Philippines, 17–19 June 1996. Report 4/96. Swedish National Chemicals Inspectorate, Swedish Environmental Protection Agency, 1996: 19-77.
Mörner J. Alternative to POP pesticides for the protection of plants and building constructions. In: Alternatives to persistent organic pollutants. The Swedish input to the IFCPS expert meeting on persistent organic pollutants in Manila, Philippines, 17–19 June 1996. Report 4/96. Swedish National Chemicals Inspectorate, Swedish Environmental Protection Agency, 1996: 79-115.
World Health Organization. Urban Vector and Pest Control. Geneva, Switzerland: WHO, 1988; Eleventh report of the WHO Expert Committee on Vector Biology and Control, WHO Technical Report Series, No. 767.
Selkirk JK, Soward SM, eds. Compendium of Abstracts from Long-Term Cancer Studies Reported by the National Toxicology Program of the National Institute of Environ-mental Health Sciences from 1976 to 1992. Bethesda, MD (USA): US Dept. of Health and Human Services, 1993, Environmental Health Perspectives Supplement (EHP), Suppl. 1:101.
Innes JRM, Ulland BM, Valeria MG, et al. Bioassays of pesticides and industrial chemicals for tumorigenicity in mice: A preliminary note. JNCI 1969; 42: 1101–14.
Tarjan R, Kemeny T. Multigeneration studies on DDT in mice. Food Cosmet Toxicol 1969; 7: 215–22.
Adami HO, Lipworth L, Titus-Ernstoff L, et al. Review. Organochlorine compounds and estrogen-related cancers in women. Cancer Causes Control 1995; 6: 551–66.
Wiklund K, Dich J, Holm LE, Eklund G. Risk of cancer in pesticide applicators in Swedish agriculture. Br J Ind Med 1989; 46: 809–14
Blair A, Dosemeci M, Heineman EF. Cancer and other causes of death among male and female farmers from twenty-three states. Am J Ind Med 1993; 23: 729–42.
Faustini A, Forastiere F, Dibetta L, Magliola EM, Perucci CA. Cohort study of mortality among farmers and agri-cultural workers. Med Lav. 1993; 84: 31–41.
Figá-Talamanca I, Mearelli I, Valente P, Bascherini S. Cancer mortality in a cohort of rural licensed pesticide users in the province of Rome. Int J Epidemiol 1993; 22: 579–83.
Wiklund K, Dich J. Cancer risks among female farmers in Sweden. Cancer Causes Control 1994; 5: 449–57.
Wiklund K, Dich J. Cancer risks among male farmers in Sweden. Eur J Cancer Prev 1995; 4: 81–90.
Dosemeci M, Hoover RN, Blair A, et al. Farming and prostate cancer among African-Americans in the south-eastern United States (Brief communication). JNCI 1994; 86: 1718–9.
Davis DL, Blair A, Hoel DG. Agricultural exposures and cancer trends in developed countries. Environ Health Per-spect1992; 100: 39–44.
Reif J, Pearce N, Kawachi I, Fraser J. Soft-tissue sarcoma, non-Hodgkin's lymphoma and other cancers in New Zealand forestry workers. Int J Cancer 1989; 43: 49–54.
Cantor KP, Blair A. Farming and mortality from multiple myeloma: a case-control study with the use of death certificates. JNCI 1984; 72: 251–5.
Saftlas AF, Blair A, Cantor KP, Hanrahan L, Anderson HA. Cancer and other causes of death among Wisconsin farmers. Am J Ind Med 1987; 11: 119–29.
Burmeister LF, Everett GD, Van Lier SF, Isacson P. Selected cancer mortality and farm practices in Iowa. Am J Epidemiol 1983; 118: 72–7.
Linet MS, Malker HSR, McLaughlin JK, et al. Non-Hodgkin's lymphoma and occupation in Sweden: Aregistry based analysis. Br J Ind Med 1993; 50: 70–84.
Persson B. Occupational exposures and malignant lymphoma. Doctoral thesis, Department of Occupational and Environmental Medicine, Faculty of Health Sciences, Linköping University, Sweden, 1995; Linköping University Medical Dissertations, No. 475, ISSN 0345–0082.
Milham S, Hesser JE. Hodgkin´s disease in woodworkers. Lancet 1967; 2: 136–7.
Eriksson M, Karlsson M. Occupational and other environ-mental factors and multiple myeloma: A population based case-control study. Br J Ind Med 1992; 49: 95–103.
Skov T, Lynge E. Non-Hodgkin's lymphoma and occupa-tion in Denmark. Scand J Soc Med 1991; 19: 162–9.
Zahm SH, Blair A. Pesticides and non-Hodgkin's lymphoma. Cancer Res 1992; 52(Suppl): 5485–8.
Weisenburger DD. Epidemiology of non-Hodgkin's lymphoma. Recent findings regarding an emerging epidemic. Ann Oncol 1994; 5(Suppl 1): S19–24.
Hardell L, Sandström A. Case-control study: soft-tissue sarcomas and exposure to phenoxyacetic acids or chlorophenols. Br J Cancer 1979; 39: 711–7.
Wingren G, Fredrikson M, Noorlind Brage H, Norden-skjöld B, Axelson O. Soft tissue sarcoma and occupational exposures. Cancer 1990; 66: 806–11.
Franceschi S, Barbone F, Bidoli E, et al. Cancer risk in farmers: results from a multi-site case-control study in North-Eastern Italy. Int J Cancer 1993; 53: 740–5.
Cantor KP. Farming and mortality from non-Hodgkin´s lymphoma: A case-control study. Int J Cancer 1982; 29: 234–47.
Pearce NE, Smith AH, Fisher DO. Malignant lymphoma and multiple myeloma linked with agricultural occupations in a New Zealand cancer registry-based study. Am J Epidemiol 1985; 121: 225–37.
Brownson RC, Reif JS, Chang JC, Davis JR. Cancer risks among Missouri farmers. Cancer 1989; 64: 2381–6.
Burmeister LF. Cancer in Iowa farmers: Recent results. Am J Ind Med 1990; 18: 295–301.
Amadori D, Nanni O, Falcini F, et al. Chronic lymphocytic leukaemias and non-Hodgkin´s lymphomas by histological type in farming-animal breeding workers: a population case-control study based on job titles. Occup Environ Med1995; 52: 374–9.
Balarajan R. Malignant lymphomas in agricultural and for-estry workers in England and Wales. Public Health 1988; 102: 585–92.
Blair A, Zahm SH, Pearce NE, Heineman EF, Fraumeni JF Jr. Clues to cancer etiology from studies of farmers. Scand J Work Environ Health 1992; 18: 209–15.
Pottern LM, Brown LM, Lines MS, Blair A. Genetic sus-ceptibility and occupational exposures in the etiology of leukemia and non-Hodgkin´s lymphoma. Ninth Interna-tional Symposium on Epidemiology in Occupational Health. Cincinnati, OH (USA); 1992.
Brown LM, Burmeister LF, Everett GD, Blair A. Pesticide exposures and multiple myeloma in Iowa men. Cancer Causes Control 1993; 4: 153–6.
Demers PA, Vaughan TL, Koepsell TD, et al. Acase-control study of multiple myeloma and occupation. Am J Ind Med1993; 23: 629–39.
Richardson S, Zittoun R, Bastuji-Garin S, et al. Occupa-tional risk factors for acute leukaemia: Acase-control study. Int J Epidemiol 1992; 21: 1063–73.
Keller JE, Howe HL. Case-control studies of cancer in Illinois farmers using data from the Illinois State Cancer Registry and the US Census of Agriculture. Eur J Cancer1994; 30A: 469–73.
Aronson KJ, Siemiatycki J, Dewar R, Gérin M. Occupa-tional risk factors for prostate cancer: Results from a case-control study in Montréal, Québec, Canada. Am J Epidemiol 1996; 143: 363–73.
Andersson SO, Baron J, Bergström R, Lindgren C, Wolk A, Adami HO. Life-style factors and prostate cancer risk - a case-control study in Sweden. Cancer Epidemiol Biomark Prev 1996; 5: 509–13.
Hardell L. Soft-tissue sarcomas and exposure to phenoxy acids: A clinical observation. Läkartidningen 1977; 74: 2753–4.
Eriksson M, Hardell L, Berg NO, Möller T, Axelson O. Soft-tissue sarcomas and exposure to chemical substances: A case-referent study. Br J Ind Med 1981; 38: 27–33.
Hardell L, Eriksson M. The association between soft-tissue sarcomas and exposure to phenoxyacetic acids. A new case-referent study. Cancer 1988; 62: 652–6.
Olsson H, Alvegård TA, Härkönen H, Brandt L, Möller T. Epidemiological studies on high-grade soft-tissue sarcoma within the framework of a randomised trial in Scandinavia. In: Alvegård TA. Management and Prognosis of Patients with High-Grade Soft-Tissue Sarcoma. Doc-toral thesis, University of Lund, Sweden, 1989.
Eriksson M, Hardell L, Adami HO. Exposure to dioxins as a risk factor for soft tissue sarcoma: A population based case-control study. JNCI 1990; 82: 486–90.
Kogevinas M, Kauppinen T, Winkelmann R, et al. Soft tissue sarcoma and non-Hodgkin´s lymphoma in workers exposed to phenoxy herbicides, chlorophenols, and dioxins: Two nested case-control studies. Epidemiology 1995; 6: 396–402.
Hardell L. Malignant lymphoma of histiocytic type and exposure to phenoxyacetic acids or chlorophenols. Lancet1979; 1: 55–6.
Hardell L, Eriksson M. Lenner P, Lundgren E. Malignant lymphoma and exposure to chemicals, especially organic solvents, chlorophenols and phenoxy acids: A case-control study. Br J Cancer 1981; 43: 169–76.
Olsson H, Brandt L. Non-Hodgkin´s lymphoma of the skin and occupational exposure to herbicides. Lancet1981 (b); 2: 579.
Hoar SK, Blair A, Holmes FF, et al. Agricultural herbicide use and risk of lymphoma and soft-tissue sarcoma. JAMA1986; 256: 1141–7.
La Vecchia C, Negri E, D´Avanzo B, Franceschi S. Occu-pation and lymphoid neoplasms. Br J Cancer 1989; 60: 385–8.
Persson B, Dahlander AM, Fredriksson M, Noorlind Brage H, Ohlson CG, Axelson O. Malignant lymphomas and occupational exposures. Br J Ind Med 1989; 46: 516–20.
Zahm SH, Weisenburger DD, Babbitt PA, et al. A case-control study of non-Hodgkin´s lymphoma and the herbicide 2,4-dichlorophenoxyacetic acid (2,4-D) in eastern Nebraska. Epidemiology 1990; 1: 349–56.
Morrison HI, Semenciw RM, Wilkins K, Mao Y, Wigle DT. Non-Hodgkin´s lymphoma and agricultural practices in the prairie provinces of Canada. Scand J Work Environ Health 1994; 20: 42–7.
Hardell L, Eriksson M, Degerman A. Exposure to phenoxyacetic acids, chlorophenols, or organic solvents in relation to histopathology, stage, and anatomical localiza-tion of non-Hodgkin´s lymphoma. Cancer Res 1994; 54: 2386–9.
Zahm SH, Weisenburger DD, Saal RC, Vaught JB, Babbitt PA, Blair A. The role of agricultural pesticide use in the development of non-Hodgkin´s lymphoma in women. Arch Environ Health 1993; 48: 353–8.
Donna A, Betta PG, Robutti F, Crosignani P, Berrino F, Bellingeri D. Ovarian mesothelial tumors and herbicides: a case-control study. Carcinogenesis 1984; 5: 941–2.
Donna A, Crosignani P, Robutti F, et al. Triazine herbicides and ovarian epithelial neoplasms. Scand J Work Environ1989; 15: 47–53.
Zahm SH, Weisenburger DD, Cantor KP, Holmes FF, Blair A. Role of the herbicide atrazine in the development of non-Hodgkin´s lymphoma. Scand J Work Environ Health1993; 19: 108–14.
Brown LM, Blair A, Gibson R, et al. Pesticide exposures and other agricultural risk factors for leukemia among men in Iowa and Minnesota. Cancer Res 1990; 50: 6585–91.
Flodin U, Fredriksson M, Persson B, Axelson O. Chronic lymphatic leukemia and engine exhausts, fresh wood, and DDT: a case-referent study. Br J Ind Med 1988; 45: 33–8.
Persson B, Fredriksson M, Olsen K, Boeryd B, Axelson O. Some occupational exposures as risk factors for malig-nant lymphomas. Cancer 1993; 72: 1773–8.
Falck F, Ricci A Jr, Wolff MS, Godbold J, Deckers P. Pesticides and polychlorinated biphenyl residues in human breast lipids and their relation to breast cancer. Arch Environ Health 1992; 47: 143–6.
Wolff MS, Toniolo PG, Lee EW, Rivera M, Dubin N. Blood levels of organochlorine residues and risk of breast cancer. JNCI 1993; 85: 648–52.
Krieger N, Wolff MS, Hiatt RA, Rivera M, Vogelman J, Orentreich N. Breast cancer and serum organochlorines: a prospective study among white, black, and Asian women. JNCI 1994; 86: 589–99.
Hardell L, Bengtsson NO, Jonsson U, Eriksson S, Larsson LG. Aetiological aspects on primary liver cancer with special regard to alcohol, organic solvents and acute inter-mittent porphyria - An epidemiological investigation. Br J Cancer 1984; 50: 389–97.
Smith AH, Pearce NE, Fisher DO, Giles HJ, Teague CA, Howard JK. Soft tissue sarcoma and exposure to phenoxy-herbicides and chlorophenols in New Zealand. JNCI 1984; 73: 1111–7.
Pearce NE, Smith AH, Howard JK, Sheppard RA, Giles HJ, Teague CA. Non-Hodgkin´s lymphoma and exposure to phenoxyherbicides, chlorophenols, fencing work, and meat works employment: A case-control study. Br J Ind Med 1986; 43: 75–83.
Pearce NE, Sheppard RA, Smith AH, Teague CA. Non-Hodgkin´s lymphoma and farming. An expanded case-control study. Int J Cancer 1987; 39: 155–61.
Cantor KP, Blair A, Everett G, et al. Pesticides and other agricultural risk factors for non-Hodgkin´s lymphoma among men in Iowa and Minnesota. Cancer Res 1992; 52: 2447–55.
Bertazzi PA, di Domenico A. Chemical, Environmental, and Health Aspects of the Seveso, Italy, Accident. (Chapter 18) In: Schecter A, ed. Dioxins and Health. New York, NY (USA): Plenum Press, 1994: 587–632.
Figgs LW, Dosemeci M, Blair A. United States Non-Hodgkin's lymphoma surveillance by occupation 1984–1989: a twenty-four state death certificate study. Am J Ind Med 1995; 27: 817–35.
Hardell L. Phenoxy herbicides, chlorophenols, soft-tissue sarcoma (STS) and malignant lymphoma [Letter]. Br J Cancer 1993; 67: 1154–5.
Heineman EF, Olsen JH, Pottern LM, Gomez M, Raffn E, Blair A. Occupational risk factors for multiple myeloma among Danish men. Cancer Causes Control 1992; 3: 555–68.
Pesatori AC, Consonni D, Tironi A, Zocchetti C, Fini A, Bertazzi A. Cancer in a young population in a dioxin-con-taminated area. Int J Epidemiol 1993; 22: 1010–3.
Pesatori AC, Sontag JM, Lubin JH, Consonni D, Blair A. Cohort mortality and nested case-control study of lung cancer among structural pest control workers in Florida (United States). Cancer Causes Control 1994; 5: 310–8.
Pottern LM, Heineman EF, Olsen JH, Raffn E, Blair A. Multiple myeloma among Danish women: employment history and workplace exposures. Cancer Causes Control1992; 3: 427–32.
Siemiatycki J, Dewar R, Nadon L, Gérin M. Occupational risk factors for bladder cancer: Results from a case-control study in Montreal, Quebec, Canada. Am J Epidemiol 1994; 140: 1061–80.
Firth HM, Cooke KR, Herbison GP. Male cancer incidence by occupation: New Zealand, 1972–1984, Int J Epidemiol1996; 25: 14-21.
Linet MS, McLaughlin JK, Malker HSR, et al. Occupational and hematopoietic and lymphoproliferative malignancies among women: A linked registry study. J Occup Med 1994; 11: 1187–98.
Semenciw RM, Morrison HI, Morison D, Mao Y. Leukemia mortality and farming in the prairie provinces of Canada. Can J Public Health 1994; 85: 208–11.
Ronco G, Costa G, Lynge E. Cancer risk among Danish and Italian farmers. Br J Ind Med 1992; 49: 220–5.
Pukkala E, Notkola V. Cancer incidence among Finnish farmers, 1979–93. Cancer Causes Control 1997; 8: 25-33.
Viel JF, Richardson ST. Lymphoma, multiple myeloma and leukemia among French farmers in relation to pesticide exposure. Soc Sci Med 1993; 37: 771–7.
Blair A, Grauman DJ, Lubia JH, Fraumeni JF Jr. Lung cancer and other causes of death among licensed pesticide applicators. JNCI 1983; 71: 31–7.
MacMahon B, Monson RR, Wang HH, Zheng T. A second follow-up of mortality in a cohort of pesticides applicators. J Med 1988; 30: 429–32.
Corrrao G, Calleri M, Carle F, Russo R, Bosia S, Piccioni P. Cancer risk in a cohort of licensed pesticide users. Scand J Work Environ Health 1989; 15: 203–9.
Coggon D, Pannett B, Winter PD, Acheson ED, Bonsall J. Mortality of workers exposed to 2 methyl-4chlorophe-noxy acetic acid. Scand J Work Environ Health 1986: 12: 448–54.
Morrison H, Savitz D, Semenciw R, et al. Farming and prostate cancer mortality. Am J Epidemiol 1993; 137: 270–80.
Graham S, Gibson RW. Social epidemiology of cancer of the testis. Cancer 1972; 29: 1242–9.
Mills PK, Newell GR, Johnson DE. Testicular cancer as-sociated with employment in agriculture and oil and natural gas extraction. Lancet 1984; i: 207–10.
McDowall ME, Balarajan R. Testicular cancer mortality in England and Wales 1971–1980: variations by occupation. J Epidemiol Comm Health 1986; 40: 26-9.
Wiklund K, Dich J, Holm LE. Testicular cancer among agricultural workers and pesticide applicators in Sweden Scand J Work Environ Health 1986; 12: 630–1.
Olsen JH, Jensen OM. Occupation and risk of cancer in Denmark: an analysis of 93,810 cancer cases, 1970–1979. Scand J Work Environ Health 1987;13(Suppl 1): 1-91.
van den Eeden SK, Weiss NS, Strader CH, Daling JR. Occupation and the occurrence of testicular cancer. Am J Ind Med 1991;19:327–37.
Dich J, Wiklund K, Holm LE. Testicular cancer in pesticide applicators in Swedish agriculture [Letter]. Scand J Work Environ Health 1996; 22: 66.
Alavanja MCR, Blair A, Masters MN. Cancer mortality in the US flour industry. JNCI 1990; 82: 840–8.
Lynge E. A follow-up study of cancer incidence among workers in manufacture of phenoxy herbicides in Denmark. Br J Cancer 1985; 52: 259–70.
Fingerhut MA, Halperin WE, Marlow DA, et al. Cancer J. Dich et al 442 Cancer Causes and Control. Vol 8. 1997.mortality in workers exposed to 2,3,7,8-tetrachlo-rodibenzo-p-dioxin. N Engl J Med 1991; 324: 212–8.
Lynge E. Cancer in phenoxy herbicide manufacturing workers in Denmark, 1947–87 - an update. Cancer Causes Control 1993; 4: 261-72.
Delzell E, Grufferman S. Mortality among white and non-white farmers in North Carolina, 1976–1978. Am J Epidemiol 1985; 121: 391-402.
Alavanja MCR, Blair A, Merkle S, Teske J, Eaton B. Mor-tality among agricultural extension agents. Am J Ind Med1988; 14: 167–76.
Burmeister LF. Cancer mortality in Iowa farmers, 1971–1978. JNCI 1981; 66: 461-4.
Alavanja MCR, Blair A, Merkle S, Teske J, Eaton B, Reed B. Mortality among forest and soil conservationists. Arch Environ Health 1989; 44: 94–101.
Wigle DT, Semenciw RM, Wilkins K, et al. Mortality study of Canadian male farm operators: Non-Hodgkin´s lymphoma mortality and agricultural practices in Saskatch-ewan. JNCI 1990; 82: 575–82.
Cantor KP, Booze CF. Mortality among aerial pesticide applicators and flight instructors: a reprint. Arch Environ Health 1991; 46: 110–6.
Flesch-Janys D, Berger J, Gurn P, et al. Exposure to poly-chlorinated dioxins and furans (PCDD/F) and mortality in a cohort of workers from a herbicide-producing plant in Hamburg, Federal Republic of Germany. AmJ Epidemiol1995; 142: 1165–75.
Alavanja MCR, Akland G, Baird D, et al. Cancer and non-cancer risk to women in agriculture and pest control: The agricultural health study. J Occup Med 1994; 36: 1247–50.
Kogevinas M, Saracci R, Winkelmann R, et al. Cancer incidence and mortality in women occupationally exposed to chlorophenoxy herbicides, chlorophenols, and dioxins. Cancer Causes Control 1993; 4: 547–53.
Kristensen P, Andersen A, Irgens LM, Laake P, Bye AS. Incidence and risk factors of cancer among men and women in Norwegian agriculture. Scand J Work Environ Health1996; 22:14–26.
Morrison HI, Semenciw RM, Morison D, Mao Y. Mortality among Canadian fruit and vegetable farmers. In: Dosman J, ed. Human Sustainability in Agriculture: Health, Safety, Sustainability. Boca Raton, FL (USA): CRC Press Inc., 1995: 175–80.
Semenciw RM, Morrison HI, Riedel D, Wilkins K, Ritter L, Mao Y. Multiple myeloma mortality and agricultural practices in the prairie provinces of Canada. JOM 1993; 35: 557–61.
Torchio P, Lepore AR, Corrao G, et al. Mortality study on a cohort of Italian licensed pesticide users. Sci Total Environ 1994; 149: 183–91.
Zhong Y, Ransson V. Cancer incidence among Icelandic pesticide users.Int J Epidemiol 1996; 25: 1117–24.
Hernberg S. Introduction to occupational epidemiology. Chelsea, UK: Lewis Publishers Inc., 1992.
Smith AH, Pearce NE. Update on soft tissue sarcoma and phenoxyherbicides in New Zealand. Chemosphere 1986; 15: 1795–8.
Chittal SM, Brousset P, Voigt JJ, Delsol G. Large B-cell lymphoma rich in T-cell simulating Hodgkin´s disease. His-topathology1991; 19: 211–20.
Harris NL, Jaffe ES, Stein H, et al. A revised European-American classification of lymphoid neoplasms: a proposal from the International Lymphoma Study Group. Blood1994; 84: 1361–92.
Lennert K, Mohri N, Stein H, Kaiserling E. The histo-pathology of malignant lymphoma. Br J Haematol 1975; 31(Suppl): 193–203.
Schaerer R, Lutz JM, Ménégoz F, Ferley JP, Swiercz P, Mousseau M. Lymphoma registration: Difficulties and results of a population-based registry. In: Sotto, Vrousos, Sotto, Vincent, eds. Non-Hodgkin's Lymphomas: New Techniques and Treatments. Basel, Switzeland: Karger, 1985; 4th Cancer Res Workshop, Grenoble, 1984: 6–12.
Dige U, Johansson H, Lenner P, Norberg B, Roos G. Hodgkin´s disease in northern Sweden 1971–1981. Acta Oncol 1991; 30: 593-6.
Martinsson U, Glimelius B, Sundström C. Lymphoma incidence in a Swedish county during 1969–1987. Acta Oncol 1992; 31: 275-82.
Garry VF, Tarone RE, Long L, Griffith J, Kelly JT, Burroughs B. Pesticide appliers with mixed pesticide exposure: G-banded analysis and possible relationship to non-Hodgkin´s lymphoma. Cancer Epidemiol Biomark Prev 1996; 5: 11–6.
Adami J, Frisch M, Yuen J, Glimelius B, Melbye M. Evi-dence of an association between non-Hodgkin's lymphoma and skin cancer. Br Med J 1995; 310: 1491–5.
Bentham G. Association between incidence of non-Hodgkin's lymphoma and solar ultraviolet radiation in England and Wales. Br Med J 1996; 312: 1128–31.
Hartge P, Devesa SS, Grauman D, Fears TR, Fraumeni JF Jr. Non-Hodgkin's lymphoma and sunlight. JNCI 1996; 88: 298–300.
McMichael AJ, Giles GG. Have increases in solar ultraviolet exposure contributed to the rise in incidence of non-Hodgkin's lymphoma? Br J Cancer 1996; 73: 945–50.
Kelce WR, Stone CR, Laws SC, Gray LE, Kemppainen JA, Wilson EM. Persistent DDT metabolite p,p*-DDE is a potent androgen receptor antagonist [Letter]. Nature1995; 375: 581–5.
Hayes RB, Brown LM, Pottern LM, et al. Occupation and risk for testicular cancer: A case-control study. Int J Epidemiol 1990; 19: 825–31.
Ekbom A, Wicklund-Glynn A, Adami HO. DDT and testicular cancer. Lancet 1996; 347: 553–4.
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Dich, J., Zahm, S.H., Hanberg, A. et al. Pesticides and cancer. Cancer Causes Control 8, 420–443 (1997). https://doi.org/10.1023/A:1018413522959
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DOI: https://doi.org/10.1023/A:1018413522959