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Asbestos: Selected Cancers
TABLE E.2 Laryngeal Cancer and Exposure to Asbestos—Case-Control Studies
Reference*
Study Population
Exposed Cases
Estimated RR (95% CI)
Berrino et al. 2003
213 male cases of endolaryngeal cancer from six centers in Southern Europe, < 55 years old
Possible
na
1.7 (1.0-3.0)
Probable
na
1.8 (0.8-4.0)
Combined analysis with 100 hypopharyngeal cancer cases
Asbestos (JEM-derived agent), any exposure
215
1.6 (1.0-2.5)
10+ years duration and 20+ years lag
121
1.4 (0.8-2.4)
Likelihood of exposure
Possible
175
1.7 (1.1-2.8)
Probable
40
1.9 (0.9-3.8)
Duration of exposure
< 10 years
na
1.3 (0.6-2.7)
10-19 years
na
1.4 (0.7-2.7)
≥ 20 years
na
1.7 (0.9-3.0)
p-trend > 0.05
Tertiles of weighted exposure
1
na
1.4 (0.8-2.3)
2
na
1.9 (1.2-3.2)
3
na
1.6 (1.0-2.6)
p-trend = 0.037
Dietz et al. 2003
257 laryngeal cancer cases among residents of Rhein-Neckar region, Germany Asbestos
59
1.3 (0.8-2.1)
Elci et al. 2002
940 laryngeal cancer cases among male residents of Istanbul, Turkey (smoking-adjusted)
Asbestos (JEM-derived agent)
150
1.0 (0.8-1.3)
Glottis
28
0.8 (0.5-1.2)
Supraglottis
71
1.0 (0.8-1.4)
Other laryngeal
51
1.2 (0.9-1.7)
Intensity of exposure
Low
45
0.9 (0.6-1.3)
Medium
93
1.2 (0.9-1.6)
High
12
0.6 (0.3-1.1)
Probability of exposure
Low
121
1.2 (0.9-1.5)
Medium
20
0.6 (0.4-1.1)
High
9
0.7 (0.3-1.5)