2016
DOI: 10.1016/j.aogh.2016.01.018
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Comments on the 2014 Helsinki Consensus Report on Asbestos

Abstract: The sections of the 2014 Helsinki Consensus Report on asbestos, asbestosis, and cancer dealing with pathologic diagnosis of the diseases caused by asbestos appear to have been influenced by members of the Expert Committee with undisclosed financial conflicts of interest.

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Cited by 11 publications
(9 citation statements)
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“…Although the mechanism of the diseases is still not completely elucidated, causality for silica, asbestos and coal dust is demonstrated by post mortem pathohistological evaluation of lung tissue for silicosis, asbestosis and coalworker pneumoconiosis (Ndlovu et al, 2017;Ndlovu et al, 2016;Nelson et al, 2010;Naidoo et al, 2005;Corbett et al, 1999;Hnizdo et al, 1993;Nelson et al, 2011;Murray et al, 1996). The presence of slate-grey to dense black silica dust-laden macrophages (sometimes visible silicate crystals), asbestos fibres and asbestos bodies and pigment-laden macrophages, and anthracitic pigmentation (coal dust) are evidence for exposure, but they are not sufficient for the diagnosis of pneumoconiosis (Landrigan, 2016). On the other hand, the absence of these lesions does not exclude a diagnosis of pneumoconiosis (Landrigan, 2016).…”
Section: How the Risk Factor May Impact The Outcomementioning
confidence: 99%
See 1 more Smart Citation
“…Although the mechanism of the diseases is still not completely elucidated, causality for silica, asbestos and coal dust is demonstrated by post mortem pathohistological evaluation of lung tissue for silicosis, asbestosis and coalworker pneumoconiosis (Ndlovu et al, 2017;Ndlovu et al, 2016;Nelson et al, 2010;Naidoo et al, 2005;Corbett et al, 1999;Hnizdo et al, 1993;Nelson et al, 2011;Murray et al, 1996). The presence of slate-grey to dense black silica dust-laden macrophages (sometimes visible silicate crystals), asbestos fibres and asbestos bodies and pigment-laden macrophages, and anthracitic pigmentation (coal dust) are evidence for exposure, but they are not sufficient for the diagnosis of pneumoconiosis (Landrigan, 2016). On the other hand, the absence of these lesions does not exclude a diagnosis of pneumoconiosis (Landrigan, 2016).…”
Section: How the Risk Factor May Impact The Outcomementioning
confidence: 99%
“…The presence of slate-grey to dense black silica dust-laden macrophages (sometimes visible silicate crystals), asbestos fibres and asbestos bodies and pigment-laden macrophages, and anthracitic pigmentation (coal dust) are evidence for exposure, but they are not sufficient for the diagnosis of pneumoconiosis (Landrigan, 2016). On the other hand, the absence of these lesions does not exclude a diagnosis of pneumoconiosis (Landrigan, 2016). Studies in rodent disease models confirm a role of crystalline silica and asbestos fibres in the etiology of silicosis and asbestosis, respectively.…”
Section: How the Risk Factor May Impact The Outcomementioning
confidence: 99%
“…Landrigan and colleagues [2] and the Collegium Ramazzini [2] had previously criticized the Helsinki Criteria [2,3]. The Helsinki Criteria committee responded that its report did "not make recommendations about methods for asbestos fiber analysis [4]".…”
Section: Introductionmentioning
confidence: 99%
“…The cigarette smoke is the primary risk factor for the development of lung cancer and is estimated to be responsible for approximately 90% of all lung cancers [24], followed by asbestos [28], and radon [27]. More than 300 harmful substances with 40 known potent carcinogens were discovered in tobacco smoke.…”
Section: Lung Cancer-molecular Classification and Survival Ratesmentioning
confidence: 99%