2003
DOI: 10.1016/s0169-5002(02)00538-x
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Smoking status, occupational asbestos exposure and bronchial location of lung cancer

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Cited by 23 publications
(17 citation statements)
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“…These studies mention tumor preference for the upper lobe but, despite the fact that the majority of the patients studied were smokers, do not clearly associate it with the smoking habit, giving more weight to correlations with asbestos exposure and diet. (6)(7)10) In Brazil, ours was the first group to make this correlation with a large number of patients. One limitation of this study is that the data were retrospective, and the population of nonsmokers was small.…”
Section: Discussionmentioning
confidence: 79%
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“…These studies mention tumor preference for the upper lobe but, despite the fact that the majority of the patients studied were smokers, do not clearly associate it with the smoking habit, giving more weight to correlations with asbestos exposure and diet. (6)(7)10) In Brazil, ours was the first group to make this correlation with a large number of patients. One limitation of this study is that the data were retrospective, and the population of nonsmokers was small.…”
Section: Discussionmentioning
confidence: 79%
“…It can be hypothesized that there is less efficient delivery of food derivatives or protective substances via circulation to the upper lobes, when compared with the lower lobes. (7,10) All of this takes place because the ventilation/ perfusion ratio is greater in the upper lobe than in the lower lobe, creating favorable conditions for this predominance in smokers. (7,10) The decreased forced expiratory volume in one second increases the risk of lung cancer, and risk increases in parallel with decreasing function.…”
Section: Discussionmentioning
confidence: 99%
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“…In humans, lung cancer and bronchogenic carcinoma are synonymous because most cancers occur in the large bronchi (29,30). These tumors may be adenocarcinoma, squamous carcinoma, large-cell anaplastic carcinoma, or small-cell carcinoma, and are preceded by dysplasias that have the same bronchial distribution (31,32).…”
Section: Discussionmentioning
confidence: 99%
“…An important factor not considered in this study is the occupational exposure to asbestos related to shipbuilding [22], which is associated with increased risks of mesotheliomas and ADK [23,24]. Thirdly, no information was available about the daily time spent in each risk area and if sex-specific differences were present.…”
Section: Discussionmentioning
confidence: 99%