2017
DOI: 10.1016/j.canep.2017.02.003
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Environmental heavy metal as a potential risk factor for the progression of oral potentially malignant disorders in central Taiwan

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Cited by 30 publications
(29 citation statements)
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“…The death rate of oral cancer was 11.4 per 100, 000 population [1, 2]. In Taiwan, the major risk factors of oral cancer are betel nut chewing [36], smoking [7], alcohol consumption [4, 8], inflammation [9, 10] and human papilloma virus (HPV) infection [11, 12]. The 5-year survival rate of oral cancer is 50% [13, 14].…”
Section: Introductionmentioning
confidence: 99%
“…The death rate of oral cancer was 11.4 per 100, 000 population [1, 2]. In Taiwan, the major risk factors of oral cancer are betel nut chewing [36], smoking [7], alcohol consumption [4, 8], inflammation [9, 10] and human papilloma virus (HPV) infection [11, 12]. The 5-year survival rate of oral cancer is 50% [13, 14].…”
Section: Introductionmentioning
confidence: 99%
“…Tobacco smoking and alcohol consumption are also key risk factors for oral cancer in Taiwan. Smokers have a higher risk of potentially malignant oral disorders (hazard ratio of 2.8) than nonsmokers [12]. ADH1B, one of the genes encoding the ADH enzyme, and ALDH2, a gene that encodes an enzyme responsible for the conversion of acetaldehyde to acetate, may be associated with head and neck cancer in alcohol drinkers [13].…”
Section: Introductionmentioning
confidence: 99%
“…To the present time, more than 7000 chemical substances have been identified in cigarette smoke, including aromatic hydrocarbons, aldehydes, ketones, and heavy metals (Condoluci et al 2016;Stewart and Wild 2014). Although some metals are considered essential for biological functions, balance, high exposure to lead (Pb), cadmium (Cd), arsenic (As), nickel (Ni), and chromium (Cr), which are present in soil, contaminating food, and tobacco smoke, are also considered risk factors for cancer (Condoluci et al 2016;Galazyn-Sidorczuk et al 2008;Koedrith et al 2013;Maret 2016;Tsai et al 2017;Viana et al 2011). From the contamination of soil, tobacco leaves can be exposed to the metals: lead (Pb), cadmium (Cd), arsenic (As), nickel (Ni), and chromium (Cr), copper (Cu), and zinc (Zn), but its concentrations are dependent on plant growth and soil pH (the lower soil pH, the higher the metal contamination capacity) (Golia et al 2009).…”
Section: Introductionmentioning
confidence: 99%
“…Some carcinogens as physical, chemical, or viral agents are well known, but heavy metal's relation to malignant neoplasms and the mechanism by which it induces carcinogenesis remain unclear (Condoluci et al 2016;Galazyn-Sidorczuk et al 2008;Koedrith et al 2013;Maret 2016;Tsai et al 2017;Viana et al 2011;Wise et al 2017). Metals such as cadmium, arsenic, nickel, and chromium are already classified as carcinogenic to humans (Groups 1 and 2) by the International Agency for Research on Cancer (WHO-IARC.…”
Section: Introductionmentioning
confidence: 99%
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