scholarly journals Incidence trend for colorectal cancer in the cohort of workers exposed to ionizing radiation

2020 ◽  
Vol 13 (3) ◽  
pp. 18-24
Author(s):  
G. V. Zhuntova ◽  
T. V. Azizova ◽  
M. V. Bannikova ◽  
T. P. Zavarukhina

Colorectal cancer is one of the most common malignant neoplasms. Main causes inducing this type of cancer are factors related to the life style and occupational exposures to chemical agents. Some studies demonstrated an association of colorectal cancer incidence and mortality with ionizing radiation. The aim of the present study was to assess the trend in colorectal cancer incidence in a cohort of nuclear workers employed at the Mayak Production Association who had been exposed to ionizing radiation over prolonged periods. The cohort comprised 22,377 workers (25% of females) employed at one of the main plants (reactors, radiochemical and plutonium production plants) of the Mayak Production Association in 1948-1982 who had been externally exposed to gamma rays (cumulative absorbed colon doses were 0–5.85 Gy with the corresponding median dose of 0.16 Gy) and those who had inhaled aerosols containing plutonium particles had been also internally exposed to alpha radiation (cumulative absorbed colon doses were 0–0.18 Gy with the corresponding median dose of 0.0002 Gy). Over the period of 1948–2018, 239 colon cancers and 186 rectum cancers were diagnosed in the study cohort. The incidence of colorectal malignancies among workers of the study cohort was shown to increase with age above 50. Age-standardized incidence rates were higher in males than in females. The time trend analysis of age-standardized rates of colorectal malignancies among workers of the study cohort was performed using a spline regression. The trend of age-standardized rates of colorectal cancer incidence in the Mayak Production Association workers over the analyzed period was nonmonotonic. In general, the average annual percent change of incidence growth for colon cancer was less than 0.1% (for both sexes), while the corresponding estimates for rectum cancer were 1.1% in males and 30.3% in females. To assess the effect of occupational radiation exposure on the incidence of colorectal malignancies, a radiogenic risk analysis that would take into account non-radiation risk factors should be performed.

2005 ◽  
Vol 16 (10) ◽  
pp. 1177-1188 ◽  
Author(s):  
A.J. De Roos ◽  
R. M. Ray ◽  
D. L. Gao ◽  
K. J. Wernli ◽  
E. D. Fitzgibbons ◽  
...  

2021 ◽  
Vol 17 (3) ◽  
pp. 79-88
Author(s):  
A. V. Rumyantseva ◽  
M. V. Bannikova ◽  
T. V. Azizova

Background. Gynecological malignant neoplasms (GMN) are the leading disease group among female cancers.Objective: to characterize GMN in females occupationally exposed to ionizing radiation over prolonged periods.Materials and methods. The cohort considered in the study included females (n = 5689) who had been hired at the Mayak Production Association in the period between 1948 and 1982. All these females were exposed to ionizing radiation over prolonged periods during their employment. They were followed up until 31.12.2018. Two groups of females were identified in the study cohort: the one with a verified GMN (the main group) and another one free of GMN (the control group). The occupational and reproductive characteristics were analyzed for the identified groups of females, and associations of GMN with various risk factors were assessed.Results. Among GMN the uterine corpus cancer had the top position. In 70 % of the females GMN were diagnosed during a menopausal period. The females of the main group demonstrated significantly higher frequency of underlying pre-malignant conditions (endometriosis, uterine myoma, endometrial hyperplastic processes, ovarian epidermoids, menopausal bleedings) compared to the control group.Conclusion. Studies of GMN in females occupationally exposed to ionizing radiation over prolonged periods for sure are of a certain scientific and practical interest. The findings can provide the basis for specialized cancer care for employees of the nuclear industry.


2019 ◽  
Vol 59 ◽  
pp. 143-147 ◽  
Author(s):  
Susan Hasanpour-Heidari ◽  
Abdolreza Fazel ◽  
Shahryar Semnani ◽  
Seyyed-Reza Khandoozi ◽  
Taghi Amiriani ◽  
...  

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