Amianto e tumori delle vie urinarie

Dr. Andrea Militello Urologo, Andrologo, Sessuologo, Patologo della riproduzione

Molti studi hanno richiamato l'attenzione sulla possibile associazione tra lavoro ed esposizione all’ amianto e insorgenza dei tumori dell'apparato urinario. Ormai è certo che l’esposizione professionale ad alcune sostanze può indurre lo sviluppo di neoplasie. L’amianto è tra le sostanze più incriminate per quanto riguarda questo settore, tracce di amianto sono trovate nella popolazione affetta da carcinoma della vescica e del rene. Il lavoro riportato documenta la stretta correlazione tra esposizione all’amianto e patologia neoplastica.

Dove si trova l'amianto

Asbestos-related tumours of the urinary system: the Ramazzini Institute caseload.

Case N.	Patient initials	Place of work	Exposure scenario: exposure to asbestos	Period of exposure (lenge»	Dlagnosis	Year of diagnosis	Age at diagnosis	Latency
1	MZ	BO, MO	Foundry: thermal and electrical	1964-1991	Renal carcinoma	1990	46	26
			insulation of kilns, protective gear	(27)
2	PN	PD	Officine Stanga (Firema): lining and	1969-1998	Renai oncocytoma	1999	51	30
			insulation of railway carriages	(29)	asbestosis)	(48)
3	CT	BO	State railways: lining and insulation	1972-1989	Renal adenocarcinoma	1989	37	17
			of railway carriages	(17)
4	MM	BO	State railways: lining and insulation	1941-1974	Renal carcinoma	1994	70	53
			of railway carriages	(33)
5	GS	BO	State railways: lining and insulationof railway carriages	-	Renal carcinoma	1988	72	-
6	GP	BO	Casaralta Componenti (Firema): lining	1977-1987	Renal carcinoma	-	-
			and insulation of railway carriages	(10)
7	SE	NA	Metalworking firm: lining andinsulation of railway carriages	.	Renal neoplasia	1985	79	-
8	CN	BO	Sugar refinery (home exposure):	1938-1960	Renai carcinoma	1995	59	57
			lining and insulation	(22)
9	CV	GE	Shipyard: thermal and electric-cable	1962-1999	Carcinoma of the ureter	1997	58	35
			insulation, lining	(37)
10	PC	BR, SA, VE,	Petrochemical:	1969-1975	Renal carcinoma	2001	53	32
		TA, FG, LE	thermal and electric-cable insulation,	1977-1992
			insulation and gaskets	(21)
11	TL	RA	Compagnia Portuale: movement fiows,	1962-1981	Renal adenocarcinoma	1980	43	18
			transport and storage bags of asbestos, insulation and lining	(19)
12	ED	RA	Compagnia Portuale: movement flows,	1960-1984	Renal carcinoma	1995	69	35
			transport and storage bags of asbestos, insulation and lining	(24)
13	GG	RA	Compagnia Portuale: movement fiows,	1972-1992	Renal carcinoma	2004	55	32
			transporting and storing bags of asbestos, insulation and lining	(20)
14	VM	MO	Car coachworks: electric-cable insulation	1963-1991	Renal carcinoma	2007	66	44
			protective tubing for engines	(28)
15	IB	RE	Carpentry:	1975-1987	Renai neoplasia	2006	76	31
			insulating railway carriages	(1²)
16	FM	RM	State railways: lining and insulating	19541992	Bladder carcinoma	2009	75	55
			railway carriages	(38)
17	LC	BO	Magneti Marelli: thermal and electric-cable	1974-1990	Renal carcinoma	1990	53	16
			insulation for kilns, protective gear	(16)
18	BG	BO	Magneti Marelli: thermal and electric-cable	1976-1983	Renal carcinoma	2004	77	28
			insulation for kilns, protective gear	(⁷)
19	MM	BO	Magneti Marelli: thermal and electric-cable	1970-2002	Ureteral carcinoma	2001	52	31
			insulation for kilns, protective gear	(32)
20	EB	MO	Magneti Marelli: thermal and electric-cable	1974-2012	Renal carcinoma	2001	49	27
			nsulation for kilns, protective gear	(38)
21	EM	BO	Sugar refinery-Magneti Marelli: lining,	1962-1991	Bladder carcinoma	1993	57	31
			insulation, thermal and electric-cable insulation for kilns, protective gear	(29)
22	OS	MO	Car coachworks: electric-cable insulation	1974-1998	Renal carcinoma	2009	62	35
			protective tubing for engines	(24)
23	DG	FE	Magneti Marelli: lining, insulation,	1980-present	Bladder carcinoma	2008	52	28
			thermal and electric-cable insulation for kilns, protective gear	(32)

Urinary apparatus tumours and asbestos:

The Ramazzini Institute caseload

Michelina Lauriola ¹, Luciano Bua ¹, Daniela Chiozzotto ¹, Fabiana Manservisi ¹, Achille Panetta ², Giuseppe Martorana³, Fiorella Belpoggi ¹