Risk of lung cancer according to mild steel and stainless steel welding

Sørensen, Anita Rath; Thulstrup, Ane Marie; Hansen, Johnni; Ramlau‐Hansen, Cecilia Høst; Meersohn, Andrea; Skytthe, Axel; Bonde, Jens Peter

doi:10.5271/sjweh.1157

Cited by 77 publications

(57 citation statements)

References 27 publications

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“…Reported adverse respiratory outcomes include metal fume fever [2], siderosis [3], lobar pneumonia [4] and less definitively, lung cancer [5,6] and asthma [7][8][9][10][11][12]. Although some studies have shown an increased prevalence of chronic bronchitis in welders [9], this finding is not universal [13].…”

Section: Introductionmentioning

confidence: 74%

Welding, longitudinal lung function decline and chronic respiratory symptoms: a systematic review of cohort studies

et al. 2012

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While the acute respiratory risks of welding are well characterised, more chronic effects, including those on lung function, are less clear. We carried out a systematic review of published longitudinal studies of lung function decline in welders.Original cohort studies documenting two or more sequential measurements of lung function were reviewed. Meta-analysis was carried out on studies with suitable data on forced expiratory volume in 1 s (FEV1).Seven studies were included; their quality (measured on the Newcastle-Ottawa scale) was good, although exposure assessment was limited and the studies showed significant heterogeneity. Five had data suitable for meta-analysis; the pooled estimate of the difference in FEV1 decline between welders and nonwelders was -9.0 mL?year -1 (95% CI -22.5-4.5; p50.193). The pooled estimates of difference in annual FEV1 decline between welders and referents who smoked was -13.7 mL?year -1 (95% CI -33.6-6.3; p50.179). For welders and referents who did not smoke the estimated difference was -3.8 mL?year -1 (95% CI -20.2-12.6; p50.650). Symptom prevalence data were mainly narrative; smoking appeared to have the greatest effect on symptom evolution.Collectively, available longitudinal data on decline of lung function in welders and respiratory symptoms suggest a greater effect in those who smoke, supporting a focus on smoking cessation as well as control of fume exposure in this trade. Further prospective studies are required to confirm these findings. @ERSpublications Welders who smoke suffer greater decline in lung function

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Section: Introductionmentioning

confidence: 74%

Welding, longitudinal lung function decline and chronic respiratory symptoms: a systematic review of cohort studies

et al. 2012

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“…The National Institute of Occupational Safety and Health (NIOSH) concluded that there is an elevated risk of lung cancer among welders that cannot be completely accounted for by smoking or asbestos exposure (2). More recent papers also support the view that welding fumes could increase the risk of lung cancer (3)(4)(5)(6)(7)(8)(9)(10).…”

mentioning

confidence: 79%

Exposure to iron and welding fumes and the risk of lung cancer

Siew¹,

Kauppinen²,

Kyyrönen³

et al. 2008

Scand J Work Environ Health

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“…On the other hand, continued inhalation of iron dust particles may lead to the development of progressive massive fibrosis, and spontaneous pneumothorax/fungus ball (5,6). Furthermore, the risk of lung cancer among welders is associated with the duration and density of welding particulate exposure, which remains even after smoking cessation (4,7). This case is interesting with multiple exposures, including welding and pigeons, to cause lung disease.…”

Section: Discussionmentioning

confidence: 99%

INTERACTIVE CASE REPORT: Pneumosiderosis in a Welder Masquerading as Hypersensitivity Pneumonitis Casued by Pigeons

Baççıoğlu¹,

Kalpaklıoğlu²,

Bozdoğan³

et al. 2015

Respir Case Rep

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A 43-year-old man with a dyspnea, and cough had been a welder for 20 years, and had raised pigeons for 30 years. A pre-diagnosis of hypersensitivity pneumonitis was proposed with multiple micronodular opacities in radiology, exposure to pigeons, and hypoxemia. However, it was ruled out with continuing lung symptoms though avoidance of pigeons, no alveolitis in the bronchial lavage, corticosteroid insensitivity, and normal diffusion lung capacity. A diagnosis of welder's lung disease was made with the occupational environment consisting of iron dust particles, compatible chest radiology, and positive staining for ferritin (Prussian blue stain) of the macrophages in the bronchial lavage. His hypoxemia was thought to improve after bronchial washing. He was recommended to quit his job and quit smoking, as well as feeding pigeons, since these factors potentially had an effect and predispose lung fibrosis, asthma, and cancer. Key words: Occupational lung disease, pigeon's lung, welding.Nefes darlığı ve öksürük şikâyetleri olan 43 yaşındaki erkek hasta, 20 yıldır kaynakçılık yapmakta ve 30 yıldır güvercin beslemekteydi. Radyolojide yaygın mikronodüler opasiteler, güvercin besleme öyküsü ve hipoksemi olması nedeniyle ile ön tanı olarak hipersensitivite pnömonisi düşünüldü. Ancak güvercinlerin uzaklaştırılmasına rağmen şikâyetlerinin devam etmesi, bronş lavajında lenfositik/nötrofilik alveolitis bulgusunun olmaması, akciğerde fibrozis olmamasına rağmen kortikosteroide yanıtsızlık ve normal akciğer difüzyon kapasitesiyle bu tanıdan uzaklaşıldı. Kaynak-çı akciğeri hastalığı, meslek ortamındaki demir tozlarının varlığı, uyumlu radyoloji bulguları, serum ferritin yüksekliği ve bronş lavajında Prusya mavisi ile boyanmış demir granüllerinin görülmesiyle kondu. Hastanın hipoksemisinin yapılan bronş lavajı sonrası demir granüllerinin uzaklaştırılmasıyla düzeldiği dü-şünüldü. Hastaya tedavi olarak mesleğini değiştirme-si, sigarayı bırakması ve güvercinlerden uzaklaşması önerildi. Çünkü bu faktörler ileride akciğer fibrozisi, astım ve akciğer kanseri gelişimine sebep olabilmektedir.Anahtar Sözcükler: Mesleki akciğer hastalığı, güver-cinci akciğeri, kaynakçılık.

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Risk of lung cancer according to mild steel and stainless steel welding

Cited by 77 publications

References 27 publications

Welding, longitudinal lung function decline and chronic respiratory symptoms: a systematic review of cohort studies

Welding, longitudinal lung function decline and chronic respiratory symptoms: a systematic review of cohort studies

Exposure to iron and welding fumes and the risk of lung cancer

INTERACTIVE CASE REPORT: Pneumosiderosis in a Welder Masquerading as Hypersensitivity Pneumonitis Casued by Pigeons

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