Lung cancer as occupational disease M. Vogtmann Klinik für Pneumologie und Kardiologie, Helios Park-Klinikum Leipzig
DOI 10.5414/ATX02829
Abstrakt
Lung cancer is one of the most common malignant diseases with a poor prognosis. The main risk factor is inhaled cigarette smoking, but occupational exposure plays a significant role in the development of 9 – 15% of lung cancer cases. By far the most important noxious agent is the inhalation of asbestos fibre dust, which can not only cause malignant pleural mesotheliomas but also lung cancer after a latency period of more than three decades. Asbestos consumption in Germany peaked in 1980 at 250,000 tonnes per year; a general ban on asbestos has been in force in Germany since 1993 and in the European Union since 2005, meaning that the occurrence of lung cancer caused by asbestos can still be expected in the future. Other occupational noxious substances include quartz dust, polycyclic aromatic hydrocarbons, ionising radiation and various metal compounds. Passive smoking in the workplace was added to the list of occupational diseases in 2019. A subtle occupational and work history is essential, especially as those affected are often unaware of their occupational exposure to harmful substances. If there is reasonable suspicion of the existence of an occupational disease, it is mandatory to notify the relevant accident insurance institution.
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