Abstract
The relationship between asbestos exposure and gastrointestinal malignancies is unlike the well-established correlation between occupational asbestos exposure and the subsequent development of pleuropulmonary neoplasms and mesotheliomas. Cohort studies on occupationally exposed workers suggest an association between asbestos and gastrointestinal cancer, but evaluation of dose-response, tissue analysis, animal experiment, and cell culture data yield inconsistent conclusions. No simplistic cause-effect relationship can be ascribed to asbestos at the present time, and the answer to the question, “Does asbestos exposure cause gastrointestinal cancer?” must await the results of additional studies.
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References
Buseck PR: Electron microscopy of minerals. Am Sci 71:175–185, 1983
Mossman B, Light W, Wei E: Asbestos: Mechanisms of toxicity and carcinogenicity in the respiratory tract. Annu Rev Pharmacol Toxicol 23:595–615, 1983
Becklake MR: Asbestos-related diseases of the lung and other organs: their epidemiology and implications for clinical practice. Am Rev Respir Dis 114:187–227, 1976
Craighead JE, Mossman BT: The pathogenesis of asbestosassociated diseases. N Engl J Med 306:1446–1455, 1982
Editorial: Asbestos in water. Lancet 2:132, 1981
Meigs JW, Walter SD, Heston JF, Millette JR, Craun GF, Woodhull RS, Flannery JT: Asbestos cement pipe and cancer in Connecticut 1955–1974. J Environ Health 42:187–191, 1980
Webster I: The ingestion of asbestos fibers. Environ Health Perspect 9:199–202, 1974
Hallenbeck WH, Hesse CS: A review of the health effects of ingested asbestos. Rev Environ Health 2:157–166, 1977
Langer AM: Inorganic particles in human tissues and their association with neoplastic disease. Environ Health Perspect 9:229–233, 1974
Rowe JN: Relative source contributions of diet and air to ingested asbestos exposure. Environ Health Perspect 53:115–120, 1983
Dohner VA, Beegle RG, Miller WT: Asbestos exposure and multiple primary tumors. Am Rev Respir Dis 112:181–199, 1975
Mann B: Asbestosis. Radiography 46:250–252, 1980
Felton JS: Asbestos-related diseases. West J Med 133:149–150, 1980
Newhouse M: Epidemiology of asbestos-related tumors. Semin Oncol 8:250–257, 1981
Davies D: Asbestos-related diseases without asbestosis. Br Med J 287:164–165, 1983
Churg A: Asbestos fiber content of the lungs in patients with and without asbestos airway disease. Am Rev Respir Dis 127:470–473, 1983
Selikoff IJ, Lilis R, Nicholson WJ: Asbestos disease in United States shipyards. Ann NY Acad Sci 330:295–311, 1979
National Cancer Institute: Asbestos exposure: A desk reference for communicators. Clin Toxicol 14:607–618 1979
Hohenemser C, Kates RW, Slovic P: The nature of technological hazard. Science 220:378–384, 1983
McNeil BJ, Eddy DM: The costs and effects of screening for cancer among asbestos-exposed workers. J Chron Dis 35:351–358, 1982
Sweeney RE, Castleman B: Asbestos disease and compensation. Ann NY Acad Sci 330:273–280, 1979
Richman SI: Medicolegal aspects of asbestos for pathologists. Arch Pathol Lab Med 107:557–561, 1983
Weill H: Asbestos-associated diseases: Science, public policy and litigation. Chest 84:601–608, 1983
Richter ED: Asbestos exposure in Israel: Findings, issues and needs. Isr J Med Sci 20:89–97, 1984
Doll R: Mortality from lung cancer in asbestos workers. Br J Ind Med 12:81–86, 1955
Wagner JC, Sleggs CH, Marchand P: Diffuse pleural mesothelioma and asbestos exposure in the North Western Cape Province. Br J Ind Med 17:260–271, 1960
Keal ED: Asbestosis and abdominal neoplasms. Lancet 2:1214–1216, 1960
Selikoff IJ, Churg J, Hammond EC: Asbestos exposure and neoplasia. JAMA 188:22–26, 1964
Whipple HE, Van Reyen PE (eds): Biological effects of asbestos. Ann NY Acad Sci 132:1–766, 1965
Newhouse ML, Thompson H: Mesothelioma of pleura and peritoneum following exposure to asbestos in London. Br J Ind Med 22:261–269, 1965
Lieben J, Pistawka H: Mesothelioma and asbestos exposure. Arch Environ Health 14:499–563, 1967
Kleinfeld M, Messite J, Kooyman O, Zaki MH: Mortality among talc miners and millers in New York State. Arch Environ Health 14:663–667, 1967
Enterline PE, Kemick MA: Asbestos dust exposures at various levels and mortality. Arch Environ Health 15:181–186, 1967
Harries PG: Asbestos hazards in naval shipyards. Ann Occup Hyg 11:135–145, 1968
McEwen J, Finlayson A, Mair A, Gibson AAM: Mesothelioma in Scotland. Br Med J 4:575–578, 1970
Elmes PC, Simpson M: Insulation workers in Belfast: Mortality 1940–1966. Br J Ind Med 28:226–236, 1971
Stumphius J: Epidemiology of mesothelioma on Walcheren Island. Br J Ind Med 28:59–66, 1971
Selikoff IJ, Hammond EC, Cheng J: Carcinogenicity of amosite asbestos. Arch Environ Health 25:183–186, 1972
Lumley KPS: A proportional study of cancer registrations of dockyard workers. Br J Ind Med 33:108–114, 1976
Clemmesen J, Hjalgrim-Jensen S: Cencer incidence among 5686 asbestos cement workers followed from 1943 through 1976. Ecotoxicol Environ Safety 5:15–23, 1981
Sera Y, Kang KY: Asbestos and cancer in the Sennan district of Osaka. Tohoku J Exp Med 133:313–320, 1981
Thomas HF, Benjamin IT, Elwood PC, Sweetnam PM: Further follow-up study of workers from an asbestos cement factory. Br J Ind Med 39:273–276, 1982
Levy BS, Sigurdson E, Mandel J, Laudon E, Pearson J: Investigating possible effects of asbestos in city water: Surveillance of gastrointestinal cancer incidence in Duluth, Minnesota. Am J Epidemiol 103:362–368, 1976
Fears TR: Cancer mortality and asbestos deposits. Am J Epidemiol 104:523–526, 1976
Wigle DT: Cancer mortality in relation to asbestos in municipal water supplies. Arch Environ Health 32:185–190, 1977
Graham S, Blanchet M, Rohrer T: Cancer in asbestosmining and other areas of Quebec. J Natl Cancer Inst 59:1139–1145, 1977
McCullagh SF: Is there a risk to health in using asbestoscement pipes for the carriage of drinking water? Ann Occup Hyg 23:189–193, 1980
Conforti PM, Kanarek MS, Jackson LA, Cooper RC, Murchio JC: Asbestos in drinking water and cancer in the San Francisco Bay area: 1969–1974 incidence. J Chron Dis 34:211–224, 1981
Sigurdson EE, Levy BS, Mandel J, McHugh R, Michienzi LJ, Jagger H, Pearson J: Cancer morbidity investigations: Lessons from the Duluth study of possible effects of asbestos in drinking water. Environ Res 25:50–61, 1981
Graham S: Methodological problems in ecologic studies of the asbestos-cancer relationship. Environ Res 25:35–49, 1981
Polissar L, Severson RK, Boatman ES, Thomas DB: Cancer incidence in relation to asbestos in drinking water in the Puget Sound region. Am J Epidemiol 116:314–328, 1982
Miller AB: Asbestos fiber dust and gastrointestinal malignancies: Review of literature with regard to a cause-effect relationship. J Chron Dis 31:23–33, 1978
Selikoff IJ: Epidemiology of gastrointestinal cancer. Environ Health Perspect 9:299–305, 1974
Nicholson WJ, Selikoff IJ, Seidman H, Lilis R, Formby P: Long-term mortality experience of chrysotile miners and millers in Thetford mines, Quebec. Ann NY Acad Sci 330:11–21, 1979
Seidman H, Selikoff IJ, Hammond EC: Short-term asbestos work exposure and long-term observation. Ann NY Acad Sci 330:61–89, 1979
Henderson VL, Enterline PE: Asbestos exposure: Factors associated with excess cancer and respiratory disease mortality. Ann NY Acad Sci 330:117–126, 1979
Sheers G: Asbestos-associated disease in employees of Devonport dockyard. Ann NY Acad Sci 330:281–287, 1979
Selikoff IJ, Hammond EC, Seidman H: Mortality experience of insulation workers in the United States and Canada, 1943–1976. Ann NY Acad Sci 330:91–116, 1979
Newhouse ML, Berry G: Patterns of mortality in asbestos factory workers in London. Ann NY Acad Sci 330:53–60, 1979
Puntoni R, Vercelli M, Merlo F, Valerio F, Santi L: Mortality among shipyard workers in Genoa, Italy. Ann NY Acad Sci 330:353–377, 1979
Hammond EC, Selikoff IJ, Seidman H: Asbestos exposure, cigarette smoking, and death rates. Ann NY Acad Sci 330:473–490, 1979
Schneiderman MA: Digestive system cancer among persons subjected to occupational inhalation of asbestos particles: A literature review with emphasis on dose response. Environ Health Perspect 9:307–311, 1974
Liddell D: Asbestos and public health. Thorax 36:241–244, 1981
Erdreich LS: Comparing epidemiologic studies of ingested asbestos for use in risk assessment. Environ Health Perspect 53:99–104, 1983
Crouch E, Churg A: Ferruginous bodies and the histologic evaluation of dust exposure. Am J Surg Pathol 8:109–116, 1984
Andrion A, Pira E, Mollo F: Peritoneal plaques and asbestos exposure. Arch Pathol Lab Med 107:609–610, 1983
Ross R, Dworsky R, Nichols P, Paganini-Hill A, Wright W, Koss M, Lukes R, Henderson B: Asbestos exposure and lymphomas of the gastrointestinal tract and oral cavity. Lancet 2:1118–1119, 1982
Rouhier D, Andre C, Allard C, Gillon J, Brette R: Malignant alpha chain disease and exposure to asbestos. Environ Res 27:222–225, 1982
Waxweiler RJ, Robinson C: Asbestos and non-Hodgkin's lymphoma. Lancet 1:189–190, 1983
Kagan E, Jacobson RJ: Lymphoid and plasma cell malignancies: Asbestos-related disorders of long latency. Am J Clin Pathol 80:14–20, 1983
Olsson H, Brandt L: Asbestos exposure and non-Hodgkin's lymphoma. Lancet 1:588, 1983
Polissar L, Severson RK, Boatman ES: A case-control study of asbestos in drinking water and cancer risk. Am J Epidemiol 119:456–471, 1984
Langer AM, Maggiore CM, Nicholson WJ, Rohl AN, Rubin IB, Selikoff IJ: The contamination of Lake Superior with amphibole gangue minerals. Ann NY Acad Sci 330:549–572, 1979
Millette JR, Clark PJ, Stober J, Rosenthal M: Asbestos in water supplies of the United States. Environ Health Perspect 53:45–48, 1983
Marsh GM: Critical review of epidemiologic studies related to ingested asbestos. Environ Health Perspect 53:49–56, 1983
Millette JR, Craun GF, Stober JA, Kraemer DF, Tousignant HG, Hildago E, Duboise RL, Benedict J: Epidemiology study of the use of asbestos-cement pipe for the distribution of drinking water in Escambia County, Florida. Environ Health Perspect 53:91–98, 1983
Kanarek MS: The San Francisco Bay epidemiology studies on asbestos in drinking water and cancer incidence: Relationship to studies in other locations and pointers for further research. Environ Health Perspect 53:105–106, 1983
Cooper RC: Comments on the California studies. Environ Health Perspect 53:109–110, 1983
Toft P, Meek ME: Asbestos in drinking water: A Canadian view. Environ Health Perspect 53:177–180, 1983
Nicholson WJ: Human cancer risk from ingested asbestos: A problem of uncertainty. Environ Health Perspect 53: 111–113, 1983
Boatman ES, Merrill T, O'Neill A, Polissar L, Millette JR: Use of quantitative analysis of urine to assess exposure to asbestos fibers in drinking water in the Puget Sound region. Environ Health Perpect 53:131–141, 1983
Churg AM, Warnock ML: Asbestos and other ferruginous bodies: Their formation and clinical significance. Am J Pathol 102:447–456, 1981
Churg A: Current issues in the pathologic and mineralogic diagnosis of asbestos-induced disease. Chest 84:275–280, 1983
Langer AM, Mackler AD, Pooley FD: Electron microscopical investigation of asbestos fibers. Environ Health Perspect 9:63–80, 1974
Rubin IB, Maggiore CJ: Elemental analysis of asbestos fibers by means of electron probe techniques. Environ Health Perspect 9:81–94, 1974
Langer AM: Approaches and constraints to identification and quantitation of asbestos fibers. Environ Health Perspect 9:133–136, 1974
Holt PF: Small animals in the study of pathological effects of asbestos. Environ Health Perspect 9:205–211, 1974
Dodson RF, Williams MG, Hurst GA: Method for removing the ferruginous coating from asbestos bodies. J Toxicol Environ Health 11:959–966, 1983
Becklake MR: Environmental exposure to asbestos: A factor in the rising rate of cancer in the industrialized world? Chest 76:245–247, 1979
Doniach I, Swettenham KV, Hathorn MKS: Prevalence of asbestos bodies in a necropsy series in East London: Assocation with disease, occupation, and domiciliary address. Br J Ind Med 32:16–30, 1975
Churg AM, Warnock ML: Numbers of asbestos bodies in urban patients with lung cancer and gastrointestinal cancer and in matched controls. Chest 76:143–149, 1979
Roggli VL, Pratt PC: Numbers of asbestos bodies on iron-stained tissue sections in relation to asbestos body counts in lung tissue digests. Hum Pathol 14:355–361, 1983
Henderson WJ, Evans DMD, Davies JD, Griffiths K: Analysis of particles in stomach tumors from Japanese males. Environ Res 9:240–249, 1975
Szendroi M, Nemeth L, Vajta G: Asbestos bodies in a bile duct cancer after occupational exposure. Environ Res 30:270–280, 1983
Warnock ML: Asbestosis. West J Med 141:94, 1984
Lee DHK: Biological effects of ingested asbestos: Report and commentary. Environ Health Perspect 9:113–122, 1974
Bignon J, Monchaux G, Sebastien P, Hirsch A, Lafuma J: Human and experimental data on translocation of asbestos fibers through the respiratory system. Ann NY Acad Sci 330:745–750, 1979
Brown A: Lymphohematogenous spread of asbestos. Environ Health Perspect 9:203–204, 1974
Sebastien P, Masse R, Bignon J: Recovery of ingested asbestos fibers from the gastrointestinal lymph in rats. Environ Res 22:201–216, 1980
Pontefract RD: Penetration of asbestos through the digestive wall in rats. Environ Health Perspect 9:213–214, 1974
Patel-Mandlik K, Millette J: Accumulation of ingested asbestos fibers in rat tissues over time. Environ Health Perspect 53:197–200, 1983
Lee DHK (ed): Biological effects of ingested asbestos. Environ Health Perspect 9:1–462, 1974
Selikoff IJ, Hammond EC (eds): Health hazards of asbestos exposure. Ann NY Acad Sci 330:1–814, 1979
United States Environmental Protection Agency: Summary Workshop on Ingested Asbestos, October 13–14, 1982, Cincinnati, Ohio. Environ Health Perspect 53:1–204, 1983
Gross P, Harley RA, Swinburne LM, Davis JMG, Greene WB: Ingested mineral fibers: Do they penetrate tissue or cause cancer? Arch Environ Health 29:341–347, 1974
Jacobs R, Humphrys J, Dodgson KS, Richards RJ: Light and electron microscope studies of the rat digestive tract following prolonged and short-term ingestion of chrysotile asbestos. Br J Exp Pathol 59:443–453, 1978
Smith WE, Hubert DD, Sobel HJ, Peters ET, Doerfler TE: Health of experimental animals drinking water with and without amosite asbestos and other mineral particles. J Environ Pathol Toxicol 3:277–300, 1980
Ward JM, Frank AL, Wenk M, Devor D, Tarone RE: Ingested asbestos and intestinal carcinogenesis in F344 rats. J Environ Pathol Toxicol 3:301–312, 1980
Donham KJ, Berg JW, Will LA, Leininger JR: The effects of long-term ingestion of asbestos on the colon of F344 rats. Cancer 45:1073–1084, 1980
Bolton RE, Davis JMG, Lamb D: The pathological effects of prolonged asbestos ingestion in rats. Environ Res 29:134–150, 1982
National Technical Information Service: National Toxicology Program Technical Report No. 249, Springfield, Virginia, 1983, 81 pp
Davis JMG, Bolton RE, Garrett J: Penetration of cells by asbestos fibers. Environ Health Perspect 9:255–260, 1974
Westlake GE: Asbestos fibers in the colonic wall. Environ Health Perspect 9:227, 1974
Condie LW: Review of published studies of orally administered asbestos. Environ Health Perspect 53:3–9, 1983
McConnell EE, Shefner AM, Rust JH, Moore JA: Chronic effects of dietary exposure to amosite and chrysotile asbestos in Syrian golden hamsters. Environ Health Perspect 53:11–25, 1983
McConnell EE, Rutter HA, Ulland BM, Moore JA: Chronic effects of dietary exposure to amosite asbestos and tremolite in F344 rats. Environ Health Perspect 53:27–44, 1983
Amacher DE, Alarif A, Epstein SS: Effects of ingested chrysotile on DNA synthesis in the gastrointestinal tract and liver of the rat. Environ Health Perspect 9:319–324, 1974
Day R, Lemaire I, Mercier P, Beaudoin H, Lemaire S: Asbestos-related increase in pulmonary levels of vasoactive intestinal peptide (VIP). Life Sci 33:1871–1876, 1983
Cook PM: Review of published studies on gut penetration by ingested asbestos fibers. Environ Health Perspect 53: 121–130, 1983
Meek ME: Transmigration of ingested asbestos. Environ Health Perspect 53:149–152, 1983
Pooley F: Locating fibers in the bowel wall. Environ Health Perspect 9:235, 1974
Millette JR: Summary of discussion sessions: workshop on ingested asbestos. Environ Health Perspect 53:201–204, 1983
Lucier GW, Hook GER (eds): Proceedings of the Second International Workshop on theIn Vitro Effects of Mineral Dusts. Environ Health Perspect 51:1–386, 1983
Evans PH, Brown RC, Poole A: Modification of thein vitro activities of amosite asbestos by surface derivitization. J Toxicol Environ Health 11:535–543, 1983
Bruch J: Response of cell cultures to asbestos fibers. Environ Health Perspect 9:253–254, 1974
Brody AR, George G, Hill LH: Interaction of chrysotile and crocidolite asbestos with red blood cell membranes: Chrysotile binds to sialic acid. Lab Invest 49:468–475, 1983
Weitzman SA, Graceffa P: Asbestos catalyzes hydroxyl and superoxide radical generation from hydrogen peroxide. Arch Biochem Biophys 228:373–376, 1984
Mossman BT:In vitro approaches for determining mechanisms of toxicity and carcinogenicity by asbestos in the gastrointestinal and respiratory tracts. Environ Health Perspect 53:155–161, 1983
Daniel FB:In vitro assessment of asbestos genotoxicity. Environ Health Perspect 53:163–167, 1983
Rickert RR: Technique for the systematic examination of colon-rectum specimens. Environ Health Perspect 9:237, 1974
Editorial: Asbestos: Further steps towards reducing the risks. Lancet 2:563, 1983
Logsdon GS: Engineering and operating approaches for controlling asbestos fibers in drinking water. Environ Health Perspect 53:169–176, 1983
Editorial: Man-made mineral fibers—a safe alternative to asbestos? Lancet 2:1125, 1983
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Supported in part by United States Public Health Service National Research Service Award AM07113-09 and NIH grand IPO1 AM32971-01.
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Levine, D.S. Does asbestos exposure cause gastrointestinal cancer?. Digest Dis Sci 30, 1189–1198 (1985). https://doi.org/10.1007/BF01314055
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DOI: https://doi.org/10.1007/BF01314055