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More cases of rare cancer reported on Minnesota Iron Range
Wednesday, March 28, 2007 - MINNEAPOLIS - The state Health Department says 35 more cases of a rare type of cancer linked to asbestos exposure have been reported among miners on the Iron Range in northern Minnesota.
The Health Department is planning two new health studies because of the additional cases of the cancer (known as mesothelioma) -- which is seen almost exclusively in people who have been exposed to asbestos.
One of the new studies would look more closely at miners' exposure to asbestos and the other would study the health effects of asbestos-like mineral fragments produced when ore is processed.
With the data from the most recent study, 52 cases of the cancer have been found in a group of 72,000 people who worked in Minnesota's iron mining industry between the 1930s and 1982.
The cancer take 40 or 50 years to develop.
Rare Cancer Cases Reported In Minninnesota Iron Range
Mar 28, 2007 - (AP) A rare form of cancer linked to asbestos exposure has been found in another 35 miners on the Iron Range, the Minnesota Health Department reported Wednesday, and the state said it planned two studies to examine potential health concerns.
One study would focus on the health of mine workers in the region. The other would assess the potential impact of airborne mineral fragments created during ore processing.
The cancer, known as mesothelioma, is seen almost exclusively in people who have been exposed to asbestos. In a 2003 study, state researchers identified 17 diagnosed cases of mesothelioma in a group of 72,000 people who worked in Minnesota's iron mining industry between the 1930s and 1982.
Further analysis found 35 additional cases of mesothelioma in that group, raising the total number to 52, the department said in a prepared statement. Officials said the additional cases aren't surprising because it can take 40 or 50 years to develop mesothelioma after exposure to asbestos.
The earlier study found the 17 original mesothelioma cases were most likely caused by exposure to commercial asbestos used in mining and other industries. The cases aren't unique to ore mining.
"The mesothelioma issue has been with us for a long time," Health Commissioner Dianne Mandernach said in a statement. "There are important, unresolved questions that we need to address, and we believe this new study will help us provide some of the answers."
The mining study will focus on the same group of workers, comparing those who have developed mesothelioma with those who did not. Officials hope to determine what aspects of their jobs might have put workers at risk.
That study is projected to cost as much as $1 million over three years. The state will seek federal funding from the National Institute for Occupational Safety and Health and other sources.
The second study, estimated to cost $250,000, would assess health risks associated with airborne mineral fragments from ore mined in some parts of the region. Officials hope to set airborne exposure limits to protect the public from potential health effects, the department said.
The relationship between respiratory disease and mining work has been a concern for people in northeastern Minnesota, where unusually high rates of mesothelioma have been reported among males, the department said.
Between 1988 and 2005, 136 cases of the cancer were diagnosed in men who live in that part of the state -- more than twice the expected number.
Some of the elevation can be explained by the fact that more than 5,000 people once worked at an asbestos ceiling tile factory in Cloquet. It's not clear how many of the 136 cases occurred in men who were among the 72,000 miners studied in 2003, the department said.
There has been no elevation in mesothelioma rates among women who live in the region.
Also Wednesday, Ohio-based Cleveland-Cliffs Inc. announced it will fund a health study of current and former workers at the Babbitt iron ore mine and Silver Bay processing operations currently operated by Northshore Mining Co.
Cleveland-Cliffs said in a statement that the study will be conducted by an independent firm approved by the state health department and the Minnesota Pollution Control Agency. The Cleveland-Cliffs study is designed to identify whether there are potential health risks associated with mining and processing ore.
A spokesperson for Cleveland-Cliffs did not immediately return a phone message seeking further comment.
Non-small Cell Lung Cancer: Chemotherapy Before Surgery Appears Better Than Surgery Alone
Science Daily — Combining pre-operative chemotherapy and surgery increases the average chance of survival for non-small cell lung cancer patients at five years by approximately 6% compared with surgery alone.
This conclusion was drawn by a team of Cochrane Researchers from the MRC Clinical Trials Unit in London after they identified 12 eligible randomised controlled trials. Data from seven of these trials were available from trial reports and were combined in a meta-analysis. The seven trials involved a total of 988 patients.
"This is currently the best estimate of the effectiveness of this therapy, but is based on a relatively small number of trials and patients," says lead researcher Sarah Burdett.
There was, however, insufficient data to break the patients down into sub-groups and see whether the effectiveness varies for different types of patients or stages of the disease.
This research is important because around the world more than a million new cases of lung cancer are diagnosed each year, around 80% of which are non-small cell lung cancer. In addition, many patients are only diagnosed after the disease has progressed, so survival rates across all stages of disease tend to be fairly low at around 14%, with only a quarter of patients being suitable for surgery.
The Cochrane Systematic Review found that using chemotherapy before surgery can reduce the size of tumours making the surgery simpler, and increasing the number of patients who may be candidates for surgery. The worry is, however, that having a course of chemotherapy delays the operation, and could therefore leave patients at risk of allowing the tumour to spread.
"The data suggest that the benefits of the chemotherapy outweigh the risks associated with the delay," says Burdett
A project to collect complete data on all patients included in all trials is ongoing and will be able to fully assess the value of this treatment.
Note: This story has been adapted from a news release issued by John Wiley & Sons, Inc..
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