An association between and evaluation of asbestos and fiber-type concentration were made in a small study [ 39 ]. To elucidate the relation between the pulmonary asbestos-fiber contents by fiber type and development of MPM, further investigation is considered necessary.
In our case, we did not try to match the tissue fibers of the biopsy to the fibers used for the school materials since we did not have access to the school debris. Finally, we do not have data about the incidence of mesothelioma in other individuals that were exposed to the building, due to the long time that has passed since our patient has lost contact with his teachers and classmates.
The authors acquired written informed consent from the patient to publish data and figures from his medical file. Orfanidis, K. Zarogoulidis, and T. Kontakiotis wrote the manuscript, N. Courcoutasakis evaluated and described the Figures, L. Sakkas was the pathologist who examined the biopsy specimen, E. Eletheriadou treated the patient, T. Kontakiotis biopsied the lymph node, and K.
Zarogoulidis is the head of the department in which the patient was treated, he treated the patient and provided useful insights when necessary.
Zarogoulidis et al. This is an open access article distributed under the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Article of the Year Award: Outstanding research contributions of , as selected by our Chief Editors. Read the winning articles. Journal overview. Zarogoulidis , 1 M. Orfanidis, 2 T. Constadinidis, 2 E. Eleutheriadou, 1 T. Kontakiotis, 1 T.
Kerenidi, 3 L. Sakkas, 4 N. Courcoutsakis, 5 and K. Academic Editor: Robert Pirker. Received 12 Dec Revised 19 Mar Accepted 15 Apr Published 12 Jul Introduction Asbestos defines a group of naturally occurring mineral silicates, which are used for various commercial applications including fireproofing and insulation. Case Report Ayear-old male attended the emergency department with intense pain, of a right-sided supraclavicular lump, with signs of visible inflammation.
Figure 1. Figure 2. Axial enhanced CT-image of paratracheal right-sided mass and pleural effusion. Figure 3. Axial enhanced CT-image of the lower part of the chest mediastinal window shows small pleural effusion and an epiphrenic node at the right. Ascites and thickness of the right crus are also noticed. Figure 4. Axial stir short-tau-invesion-recovery MR image of the upper thorax demonstrates a lesion located in the right part of the anterior thoracic wall and shows increased inhomogeneous signal intensity.
The lesion has irregular contour, involving the major pectoralis muscle. Inside the lesion, a node is noticed. References J. View at: Google Scholar C. Magnani, D. Ferrante, F. Barone-Adesi et al. View at: Google Scholar D. Lilienfeld, J. Mandel, P. Coin, and L. View at: Google Scholar I. Baris, L. Simonato, M. Artvinli et al. View at: Google Scholar J. Hodgson and A.
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View at: Google Scholar B. Robinson, A. Musk, and R. Robinson and R. Loddenkemper and V. View at: Google Scholar T. Aukema, J. Teunissen, S. Burgers, R. Van Pel, and W. In the past, asbestos was used in many products because it was heat and fire-resistant. The link between asbestos and mesothelioma is now well known, and most of its use in the United States stopped several decades ago, but it's still used in some products. Still, millions of Americans may already have been exposed to asbestos.
People at risk for asbestos exposure in the workplace include some miners, factory workers, insulation manufacturers and installers, railroad and automotive workers, ship builders, gas mask manufacturers, plumbers, and construction workers.
Family members of people exposed to asbestos at work can also be exposed because the workers can carry home asbestos fibers on their clothes. Asbestos was also used to insulate many older homes, as well as commercial and public buildings around the country, including some schools.
Because these particles are contained within the building materials, they're not likely to be found in the air in large numbers. The risk of exposure is likely to be very low unless the particles somehow escape into the air, such as when building materials begin to decompose over time, or during remodeling or removal. The risk of developing mesothelioma is loosely related to how much asbestos a person is exposed to and how long exposure lasts.
People exposed at an early age, for a long time, and at higher levels are more likely to develop this cancer. Still, most people exposed to asbestos, even in large amounts, do not get mesothelioma.
Mesotheliomas related to asbestos exposure take a long time to develop. The time between the first asbestos exposure and diagnosis of mesothelioma is usually between 20 and 50 years. And the risk of mesothelioma does not go down over time after the exposure to asbestos stops. The risk appears to be lifelong. Because of these properties, asbestos has been used in commercial products such as insulation and fireproofing materials, automotive brakes, and wallboard materials.
If products containing asbestos are disturbed, tiny asbestos fibers are released into the air. When asbestos fibers are breathed in, they may get trapped in the lungs and remain there for a long time. Over time, accumulated asbestos fibers can cause tissue inflammation and scarring, which can affect breathing and lead to serious health problems. Low levels of asbestos fibers are present in the air, water, and soil.
Most people, however, do not become ill from this type of exposure. People who become ill from asbestos usually have been exposed to it on a regular basis, most often in a job where they have worked directly with the material or through substantial environmental contact.
Most heavy exposures to asbestos occurred in the past. The heaviest exposures today tend to occur in the construction industry and in ship repair, particularly during the removal of asbestos-containing materials due to renovation, repairs, or demolition. Workers may also be exposed during the manufacture of asbestos-containing products, such as textiles, friction products, insulation, and other building materials. Exposure to asbestos causes mesothelioma a cancer of the thin membranes that line the chest and abdomen and cancers of the lung , larynx , and ovary.
Mesothelioma is the most common form of cancer associated with asbestos exposure, although the disease is relatively rare.
The use of asbestos is now highly regulated in the United States. The Occupational Safety and Health Administration has issued standards for the construction industry, general industry, and shipyard employment sectors. Many studies have shown that the combination of tobacco smoking and asbestos exposure is particularly hazardous. However, there is also evidence that quitting smoking reduces the risk of lung cancer among asbestos-exposed workers.
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