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Pathology  ` PATHOLOGY—neOPLASIA                            Pathology  ` PATHOLOGY—neOPLASIA          SECtIoN II       225




                  Carcinogens
                   TOXIn                 eXPOSure                    OrGAn                      IMPACT
                   Aflatoxins (Aspergillus)  Stored grains and nuts  Liver                      Hepatocellular carcinoma
                   Alkylating agents     Oncologic chemotherapy     Blood                       Leukemia/lymphoma
                   Aromatic amines       Textile industry (dyes),   Bladder                     Transitional cell carcinoma
                    (eg, benzidine,       cigarette smoke
                    2-naphthylamine)      (2-naphthylamine)
                   Arsenic               Herbicides (vineyard workers),   Liver                 Angiosarcoma
                                          metal smelting            Lung                        Lung cancer
                                                                    Skin                        Squamous cell carcinoma
                   Asbestos              Old roofing material, shipyard   Lung                  Bronchogenic carcinoma >
                                          workers                                                mesothelioma
                   Cigarette smoke                                  Bladder                     Transitional cell carcinoma
                                                                    Cervix                      Squamous cell carcinoma
                                                                    Esophagus                   Squamous cell carcinoma/
                                                                                                 adenocarcinoma
                                                                    Kidney                      Renal cell carcinoma
                                                                    Larynx                      Squamous cell carcinoma
                                                                    Lung                        Squamous cell and small cell
                                                                                                 carcinoma
                                                                    Oropharynx                  Oropharyngeal cancer
                                                                    Pancreas                    Pancreatic adenocarcinoma
                   Ethanol                                          Esophagus                   Squamous cell carcinoma
                                                                    Liver                       Hepatocellular carcinoma
                   Ionizing radiation                               Thyroid                     Papillary thyroid carcinoma,
                                                                                                 leukemias
                   Nickel, chromium,     Occupational exposure      Lung                        Lung cancer
                    beryllium, silica

                   Nitrosamines          Smoked foods               Stomach                     Gastric cancer
                   Radon                 Byproduct of uranium decay,   Lung                     Lung cancer (2nd leading
                                          accumulates in basements                               cause after cigarette smoke)
                   Vinyl chloride        Used to make PVC pipes     Liver                       Angiosarcoma
                                          (plumbers)

































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