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Gender differences in asbestos exposure and disease location in 327 patients with mesothelioma

Vasiliki Panou, Ulla Moller Weinreich, Jens Bak, Mogens Vyberg, Christos Meristoudis, Oyvind Omland, Oluf Dimitri Roe, Johnni Hansen
European Respiratory Journal 2017 50: PA4294; DOI: 10.1183/1393003.congress-2017.PA4294
Vasiliki Panou
1Department of Respiratory Diseases & Department of Clinical Medicine, Aalborg, Denmark
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Ulla Moller Weinreich
2Department of Respiratory Diseases & Department of Cinical Medicine, Aalborg, Denmark
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Jens Bak
3Department of Respiratory Diseases, Aalborg, Denmark
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Mogens Vyberg
4Department of Clinical Medicine & Institute of Pathology, Aalborg, Denmark
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Christos Meristoudis
5Institute of Pathology, Aalborg, Denmark
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Oyvind Omland
6Department of Occupational Medicine, Ramazzini Centre, Aalborg, Denmark
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Oluf Dimitri Roe
7Clinical Cancer Research Center & Department of Clinical Medicine & Department of Surgery, Levanger Hospital, Nord-Trøndelag Hospital Trust, Norway, Aalborg, Denmark
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Johnni Hansen
8Danish Cancer Society Research Center, Copenhagen, Denmark
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Abstract

Introduction: The Region of North Denmark has a high incidence of malignant mesothelioma (MM) of 6.2/100.000 for men and 1/100.000 for women mainly due to large-scale use of chrysotile asbestos.

Aims: The aim of the study is to investigate gender differences in asbestos exposure and disease location for MM.

Methods: Histopathological samples of 236 men and 91 women with MM were retrieved from the Institute of Pathology, Aalborg University Hospital. Asbestos exposure information was harvested from medical records and Danish registries. Asbestos exposure type was categorized as primary, for asbestos workers; domestic, referring to patients living with an asbestos worker; environmental, defined as living or working within 10.000 meters from asbestos emitting location; unknown, where no source of asbestos exposure could be identified. MM location was classified as pleural (MPM) or peritoneal (MAM) disease. Paired T-tests were used to compare the groups (men versus women).

Results: Primary asbestos exposure was observed in 88% of men and 9% of women. Significantly more women than men had secondary (domestic, environmental or both) asbestos exposure (P< 0.00001). MAM presented in 18% of the female and 4% of the male patients (P=0.0009) (Figure 1a&b).

Conclusions: The main cause of MM in men seems to be primary, in women secondary asbestos exposure. MAM was significantly more frequent in women. Both findings need further study.

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Gender differences in asbestos exposure and disease location in 327 patients with mesothelioma
Vasiliki Panou, Ulla Moller Weinreich, Jens Bak, Mogens Vyberg, Christos Meristoudis, Oyvind Omland, Oluf Dimitri Roe, Johnni Hansen
European Respiratory Journal Sep 2017, 50 (suppl 61) PA4294; DOI: 10.1183/1393003.congress-2017.PA4294

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Gender differences in asbestos exposure and disease location in 327 patients with mesothelioma
Vasiliki Panou, Ulla Moller Weinreich, Jens Bak, Mogens Vyberg, Christos Meristoudis, Oyvind Omland, Oluf Dimitri Roe, Johnni Hansen
European Respiratory Journal Sep 2017, 50 (suppl 61) PA4294; DOI: 10.1183/1393003.congress-2017.PA4294
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