Risk factors for nasal malignancies in German men: the South-German Nasal cancer study

BMC Cancer

Eberhard M Greiser³  Karin Halina Greiser⁸  Wolfgang Ahrens⁷  Rudolf Hagen⁶  Roland Lazszig¹  Heinz Maier⁵  Bernhard Schick⁴  Hans Peter Zenner² 

[1] Department of Otorhinolaryngology-Head and Neck Surgery, Albert-Ludwigs University Medical School, Freiburg, Germany

[2] Department of Otolaryngology, University of Tübingen, Tübingen, Germany

[3] Bremen Institute for Prevention Research and Social Medicine (BIPS), Bremen University (until 3-2004), Bremen, Germany

[4] Department of Otorhinolaryngology, Saarland University, Homburg/Saar, Germany

[5] Department of Otorhinolaryngology, Head and Neck Surgery, Bundeswehr Hospital, Ulm, Germany

[6] Department of Otorhinolaryngology, University of Wuerzburg, Wuerzburg, Germany

[7] Institute for Statistics, Bremen University, Bremen, Germany

[8] German Cancer Research Center, Division of Cancer Epidemiology, Heidelberg, Germany

关键词: Nasal snuff;    Nasal lavage;    Nasal spray;    Insecticides;    Organic solvents;    Asbestos;    Hardwood dust;    Smoking;    Nasal cancer;    Case–control study;   

Others  :  1080104
DOI  :  10.1186/1471-2407-12-506

 received in 2012-04-29, accepted in 2012-10-30,  发布年份 2012

【 摘 要 】

Background

There are few studies of the effects of nasal snuff and environmental factors on the risk of nasal cancer. This study aimed to investigate the impact of using nasal snuff and of other risk factors on the risk of nasal cancer in German men.

Methods

A population-based case–control study was conducted in the German Federal States of Bavaria and Baden-Württemberg. Tumor registries and ear, nose and throat departments provided access to patients born in 1926 or later.

Results

Telephone interviews were conducted with 427 cases (mean age 62.1 years) and 2.401 population-based controls (mean age 60.8 years). Ever-use of nasal snuff was associated with an odds ratio (OR) for nasal cancer of 1.45 (95% confidence interval [CI] 0.88–2.38) in the total study population, whereas OR in smokers was 2.01 (95%CI 1.00-4.02) and in never smokers was 1.10 (95% CI 0.43–2.80). The OR in ever-smokers vs. never-smokers was1.60 (95% CI 1.24–2.07), with an OR of 1.06 (95% CI 1.05–1.07) per pack-year smoked, and the risk was significantly decreased after quitting smoking. Exposure to hardwood dust for at least 1 year resulted in an OR of 2.33 (95%CI 1.40–3.91) in the total population, which was further increased in never-smokers (OR 4.89, 95% CI 1.92–12.49) in analyses stratified by smoking status. The OR for nasal cancer after exposure to organic solvents for at least 1 year was 1.53 (1.17–2.01). Ever-use of nasal sprays/nasal lavage for at least 1 month rendered an OR of 1.59 (1.04–2.44). The OR after use of insecticides in homes was 1.48 (95% CI 1.04–2.11).

Conclusions

Smoking and exposure to hardwood dust were confirmed as risk factors for nasal carcinoma. There is evidence that exposure to organic solvents, and in-house use of insecticides could represent novel risk factors. Exposure to asbestos and use of nasal snuff were risk factors in smokers only.

【 授权许可】

   
2012 Greiser et al.; licensee BioMed Central Ltd.

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