Although pulmonary granulomatous inflammation and slight to moderate fibrosis of the alveolar septa were observed in three experiments on hamsters
that used repeated intratracheal instillation of quartz dusts, no pulmonary tumours were observed (Holland et al., 1983; Renne et al., 1985; Niemeier
et al., 1986). In experiments with mice, no statistically significant increase was seen in the incidence of lung tumours in a strain A mouse (i.e.,
male A/J mice from Jackson Laboratories, Bar Harbor, ME, USA) lung adenoma assay with one sample of quartz (McNeill et al., 1990) or with a sample of
quartz in a limited inhalation study of BALB/cBYJ female mice (Wilson et al., 1986). Fibrosis was not observed; however, the lungs of quartz-treated
mice did have silicotic granulomas, and lymphoid cuffing was observed around airways (IARC, 1997).
De Klerk & Musk (1998) conducted a cohort study of 2297 surface and underground gold miners in western Australia who participated in surveys of
respiratory symptoms, smoking habits, and lung function in 1961, 1974, and 1975. Eighty-nine per cent of the cohort was traced to the end of 1993 for
trachea, bronchus, and lung cancer mortality and incidence of compensated silicosis (i.e., compensation awarded by the Pneumoconiosis Medical Board).
A nested case-control analysis of the 138 lung cancer deaths found that lung cancer mortality was related to log total cumulative silica dust exposure
after adjustment for smoking (cigarette, pipe, or cigar) and for the presence of bronchitis at survey (relative rate = 1.31; 95% CI = 1.01-1.70).
However, the effect of total cumulative silica dust exposure on lung cancer mortality was not significant after adjustment for smoking, bronchitis,
and compensation for silicosis (relative rate = 1.20; 95% CI = 0.92-1.56). Lung cancer mortality was not significantly related (P > 0.15) to other
silica exposure variables (i.e., duration of underground or surface employment, intensity of underground or surface exposure) after adjustment for
smoking and bronchitis. Cigarette smoking (relative rate = 32.5; 95% CI = 4.4-241.2 for >25 cigarettes smoked per day), incidence of a compensation
award for silicosis after lung cancer diagnosis (relative rate = 1.59; 95% CI = 1.10-2.28), and presence of bronchitis at survey (relative rate =
1.60; 95% CI = 1.09-2.33) were significantly related to lung cancer mortality (de Klerk & Musk, 1998). The results of this study do not support a
relationship between lung cancer and silica exposure in the absence of silicosis (i.e., a compensation award for silicosis after lung cancer
diagnosis).
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