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Biomedical subjects

O Auerbach

Publications and source records attributed to O Auerbach.

At least 19 recordsLinked to original sources
PubMed1994

Reproducibility of major diagnoses in a binational study of lung cancer in uranium miners and atomic bomb survivors.

A binational panel of four Japanese and four American pathologists examined 208 pulmonary neoplasms, according to the World Health Organization (WHO) recommendations, second edition, for the histologic typing of lung tumors. The study design included independent evaluations by pathologists working alone, followed by group reviews. The individual evaluations, and their implications for reproducibility of the WHO recommendations, are reported. Consensus (agreement by six or more pathologists) with respect to major (ie, first digit) diagnosis was obtained for 76.4% of the cases. Consensus was obtained for 72.5% of the cases with any major diagnosis of small cell cancer; the comparable figures for adenocarcinoma and squamous cell carcinoma were 56% and 48%, respectively. American pathologists were twice as likely as Japanese pathologists to diagnose large-cell cancer, the only significant national difference. Consensus was far less frequent with the minor (ie, second digit) diagnosis categories. This study shows that lung cancers continue to be difficult to classify reproducibly.

Carcinoma↗
PubMed1991

The changing pattern of lung carcinoma.

In a study of 505 cases of lung carcinoma from a period in which there was a significant change in tobacco-smoking habits, a dramatic shift in the histologic type and location of the lung tumors was observed. Peripheral tumors, found in 30.7% of the carcinomas occurring before 1978, were found in 42% of the carcinomas from 1986 to 1989. The corresponding decrease in the centrally originating bronchial carcinoma was from 69.3% to 57.3%. The greatest change in histologic cancer type was that the incidence of bronchioloalveolar carcinoma more than doubled from 9.3% in the earlier period to 20.3% percent in the 1986-to-1989 period. Corresponding to the decreasing incidence of lung carcinoma, there is a decrease in cancers related to cigarette smoking. A study of cases of lung carcinoma among nonsmokers and former smokers showed a decreased incidence of the bronchogenic cancers and an increase of cancer occurring in the peripheral lung parenchyma. This finding should be validated in other population-based studies, and if confirmed, new studies should be undertaken in an attempt to discover the factors that play a role in the development of such cancers. As an example, viral oncogenes may be a possibility. Viruses were suggested in the past as being related to the development of some of these tumor types.

Adenocarcinoma↗
PubMed1989

Histologic changes in the urinary bladder in relation to cigarette smoking and use of artificial sweeteners.

A total of 6503 sections of urinary bladder epithelium from 282 subjects were examined in random order, and histologic alterations, particularly the number of cell rows and the presence and extent of cells with atypical nuclei, were recorded. Cases were either individuals who had never smoked or who had smoked cigarettes. Microscopic slides with cells having 50% or more atypical nuclei were found in 4.3% of those who had never smoked; 67.1% in those who had smoked less than 20 cigarettes a day; 82.3% in those who had smoked 20 to 39 cigarettes a day; and 88.4% of the 40 or more a day cigarette smokers. The percentage of slides with six or more cell rows in these groups were 4.8%, 52.2%, 62.5%, and 72.9%, respectively. The histologic findings in the urinary bladder in relation to smoking habits fully complement the epidemiologic studies showing a dose-response of cigarette smoking and urinary bladder cancer. No relationship was found between changes in the urinary bladder epithelium and the use of artificial sweeteners.

Adolescent↗
PubMed1988

Relationship of radioactive radon daughters and cigarette smoking in the genesis of lung cancer in uranium miners.

This article documents the study of 383 cases of lung cancer in uranium miners and presents for the first time the relationship of radioactive radon gas and cigarette smoking. There is evidence that alpha radiation from radon gas at exposure levels above 465 working level months (WLM) is a strong contributor to the development of lung cancer. Cigarette smoking plays the most significant role in causing lung tumor; this is also noticed in nonminers who smoke cigarettes. A synergistic or additive effect of these two carcinogens is strongly suggested. The data indicate that small cell tumors develop in younger nonsmoking miners exposed to radon levels above 465 WLM. Lung cancers develop in smoking miners at lower levels of radon exposure than in nonsmoking miners. Based on an average mining experience of 15 years, there is substantial evidence that the present maximum allowable limit of 0.3 working levels (WL), or 4 working level months (WLM) per year, is safe, representing a margin of safety of approximately 10:1. Furthermore, a comparison of these data with the radon levels in some homes, averaging in the neighborhood of 0.025 WL, would indicate that health risks at these levels are negligible. It is suggested that 20 picocuries/liter, which equals 0.10 WL, be the maximum allowable level in homes.

Adult↗
PubMed1986

Histologic changes in pancreas in relation to smoking and coffee-drinking habits.

Histologic alterations in the epithelium of the ducts and exocrine portions of the parenchyma and thickening of the walls of the arterioles and arteries in the pancreas in relation to smoking habits was studied in 22,344 slides from 560 autopsied subjects. Only 5.4% of the nonsmokers had medium to high percentages of ductal cells with atypical nuclei. This rose to 50.7% in light smokers and to 74.9% in 40+ a day smokers. Advanced findings (increased numbers) of cells with atypical nuclei were found in the acinar cells of the parenchyma in only 1.8% of nonsmokers; 11.4% in less than 20 cigarettes a day smokers; 29.2% in 20-39 a day smokers; and 69.1% in 40+ a day smokers. Moderate or advanced hyaline thickening of arterioles in 12.8% of the nonsmokers increased to 74.4% in the heaviest smoking group. A similar relationship was observed for fibrous thickening in the arteries. Coffee drinking was not related to histologic alterations in the cells within the pancreas.

Adult↗
PubMed1986

An epidemiological analysis of the relationship between exposure to Rn progeny, smoking and bronchogenic carcinoma in the U-mining population of the Colorado Plateau--1960-1980.

This study investigates the relationship between exposure to radioactive Rn decay products during U mining and milling operations, cigarette smoking and age, on the incidence and mortality rates of lung cancer among U workers of the Colorado Plateau during the 20-yr period from 1960-1980. A case control sample was taken from an extensive data base of 9,817 men accumulated by one author (Saccomanno). A preliminary hypothesis had been made that a possible synergistic or at least additive effect might exist when the risk factors of exposure to Rn decay products and smoking were simultaneously present. This study would seem to indicate that a synergistic effect is not present. In this work, a total of 489 cases, defined as men having a cytological diagnosis of moderate or worse atypical squamous-cell metaplasia, and a random sample of 992 "non-cases" were selected retrospectively from the dynamic cohort of workers. These data analyzed from three different perspectives indicate significant effects due to Rn-decay-product exposure in excess of the expected incidence due to age and smoking history. The data also indicate that Rn-decay-product accumulations of less than 300 working level months (WLM) is not carcinogenic in non-cigarette smokers.

Adult↗
PubMed1985

Involuntary smoking and lung cancer: a case-control study.

In a case-control study in 4 hospitals from 1971 to 1981, 134 cases of lung cancer and 402 cases of colon-rectum cancer (the controls) were identified in nonsmoking women. All cases and controls were confirmed by histologic review of slides, and nonsmoking status and exposures were verified by interview. Odds ratios (OR) increased with increasing number of cigarettes smoked by the husband, particularly for cigarettes smoked at home. The OR for women whose husbands smoked 20 or more cigarettes at home was 2.11 (95% confidence limits: 1.13, 3.95). A logistic regression analysis showed a significant positive trend of increasing risk with increased exposure to the husband's smoking at home, controlled for age, hospital, socioeconomic class, and year of diagnosis. Comparison of women classified by number of hours exposed a day to smoke in the last 5 years and in the last 25 years showed no increase in risk of lung cancer.

Adult↗
PubMed1984

Histologic type of lung cancer and asbestos exposure.

The histologic types of lung cancer in 855 patients (747 men and 107 women) from three hospitals and one international study of insulation workers were evaluated. Of these, 196 cases had asbestos exposure. About one half of the cases were diagnosed from surgical slides and one half from autopsy slides. Squamous cell carcinoma constituted the largest percentage of tumor types and was found with the same frequency in exposed and nonexposed groups. Small cell carcinoma was found in 25% of the exposed and in 15% of the nonexposed patients. Upper lung sites were involved in about two thirds of the cases with asbestos exposure and lower lobes in the other one third. There was little difference in histologic type in cases regardless of whether upper or lower lobes were involved. Cigarette smokers who smoked until their cancer diagnosis showed no difference in histologic type by amount smoked, and slight but not statistically significant differences from ex-cigarette smokers.

Adenocarcinoma↗
PubMed1984

Plasma nicotine and cotinine in tobacco smoke exposed beagle dogs.

Nicotine and cotinine have been determined in plasma samples from 87 beagle dogs chronically exposed to cigarette smoke with three different levels of nicotine. An additional 18 sham-exposed animals were included in the study as controls. Smoke was administered to the animals through permanent tracheostomas via cuffed tracheostomy tubes and was generated from reference cigarettes under standard puffing parameters by ADL-II smoking machines. The dogs were exposed for an average of 2 years prior to sample collection. The results from blood samples collected at specific intervals in the daily exposure schedules indicate that nicotine may be useful as a relative index of smoke exposure. At elevated exposure levels, average blood concentrations were related to the number of cigarettes smoked as well as the nicotine delivery of the cigarette. Cotinine was found to increase more slowly than nicotine and was also metabolized more rapidly than in humans. Overall, the study affords an examination of the relationship of plasma nicotine and cotinine with estimated nicotine exposure.

Animals↗
PubMed1983

Morphologic alterations induced by short-term cigarette smoking.

Pulmonary fibrosis and emphysema were produced in beagle dogs by their direct inhalation of cigarette smoke over a relatively short period of time (2-7 cigarettes daily for 2-4 months). One dog was sacrificed after having smoked 172 cigarettes, one after 282 cigarettes, and the others after 480 and 534 cigarettes, respectively. Examination of the lungs by scanning and transmission electron microscopy showed a range of response from the presence of numerous smoker's macrophages to extensive alterations, including destruction and enlargement of alveolar ducts and varying degrees of enlargement of alveolar spaces. Interalveolar pores were enlarged, and marked fenestration leading to destruction of the alveolar walls became apparent. These features were accompanied by interstitial fibrosis of the interalveolar septa. Light- and electron-microscopic examination showed no evidence of bronchitis and/or bronchiolitis or of physical obstruction to the terminal airways in the early development of fibrosis and emphysema.

Animals↗
PubMed1982

A comparison of World Health Organization (WHO) classification of lung tumors by light and electron microscopy.

Forty-nine cases of lung tumor were initially classified according to the World Health Organization (WHO) system by light microscopy. Additional study by electron microscopy using only a minimum of ultrastructural features as criteria for each type made more precise classification of some of the poorly differentiated or undifferentiated tumors possible. Most significant was the finding of evidence of a second tumor type in nine of the 35 tumors previously classified as moderately to well differentiated thus reclassifying them as mixed tumors. Sixteen of the 49 tumors were reclassified and a more precise classification was made in five others. Only two cases of undifferentiated small cell tumors were available and no unequivocal neurosecretory granules could be found in either. Correlation of the more precise typing of lung tumors by electron microscopy with the clinical data and modes of therapy will provide necessary information for determining the usefulness of the WHO classification.

Adenocarcinoma↗
PubMed1981

Arsenic exposure in a copper smelter as related to histological type of lung cancer.

Tissue samples from lung cancer patients who had worked at a copper smelter and from controls were collected and classified by a panel of pathologists: 38% of the cancers were found to be adenocarcinomas, compared to 12% among the controls, a statistically significant difference (p less than 0.05). The predominance of adenocarcinomas was associated with arsenic exposure. This finding is not consistent with Kreyberg's hypothesis that small-cell undifferentiated and epidermoid carcinomas are the only type that increase in response to inhaled carcinogens [1962].

Aged↗
PubMed1980

Presence of asbestos bodies in organs other than the lung.

This study was designed to test the hypothesis that subjects with many asbestos bodies in their lungs at autopsy would also have asbestos bodies in various other organs. The subjects included 19 cases with diagnosis of asbestosis at death (two of these had mesothelioma, five had lung cancer) and 18 with pleural plaques but not asbestosis. Occupational histories were obtained from relatives. In subjects occupationally exposed to asbestos, large numbers of asbestos bodies were found in the lungs, and in most of these, asbestos bodies were found in many of the other organs examined. In the 18 cases with only pleural plaques found at autopsy, considerably fewer asbestos bodies were found in the lungs. The number of other organs with one or more asbestos bodies ranged from 32 percent to 62 percent of the sites examined. The findings seem to confirm the hypothesis of the study.

Aged↗
PubMed1980

Atherosclerosis and aneurysm of aorta in relation to smoking habits and age.

A direct relationship between the extent of atherosclerotic lesions and smoking habits and age was found in a study of 1,412 aortas collected at autopsy from male patients from 1965 to 1970. The extent of the lesions was recorded using grading systems for formation of plaques, ulceration, and calcification. These findings increased with the number of cigarettes smoked and were greater in ex-cigarette smokers and pipe or cigar smokers than in nonsmokers. More extensive alterations were found in the abdominal aorta than in the thoracic aorta. Aneurysms were found eight times more frequently among those smoking one to two packs of cigarettes per day than in nonsmokers. Black subjects showed about one-half the number of aneurysms and fewer extensive atherosclerotic lesions than white subjects. At ages over 65 years, abdominal aortic aneurysms were found in 11 percent of all men and in 16 percent of the heavy smokers.

Age Factors↗