Can you be a full time professional Woodworker?
Adenocarcinoma most often occurs in the upper nasal cavity or in the ethmoid sinuses. It arises from the submucosal glands, which are direct epithelial invaginations and thus not true minor salivary glands. Adenocarcinomas may be well or poorly differentiated, and this high or low grade is related to prognosis.35 The papillary form is the type most often seen in woodworkers and tends to have a relatively better prognosis than the other two.
Many occupational diseases have been well described over the years malignant meso-thelioma in workers exposed to asbestos cancer of the bladder in workers exposed to aniline dye malignant neoplasms of the nasal cavities in woodworkers pneumoconiosis in coal miners silicosis in sandblasters and quarry workers leukemia in those exposed to benzene hepatic angiosarcoma in workers exposed to vinyl chloride byssinosis in cotton industry workers skin cancer in those chronically exposed to the sun, such as sailors ornithosis in bird breeders toxic hepatitis in solvent users and workers in the plastics industry and chronic bronchitis in individuals exposed to industrial dusts. It has been shown that there is an association between sterility in men and women and exposure to certain pesticides and an association between dementia and exposure to certain solvents.
Information about past medical history and social history is also necessary. Knowledge of the patient's work environment may be relevant. Exposure to chemicals or fumes can cause nasal symptoms. Woodworkers are known to have a higher incidence of sinonasal carcinoma. A history of environmental allergies or immune dysfunction is relevant. Many medical conditions (e.g., asthma, autoimmune disorders) are associated with sinonasal dysfunction. Other conditions (e.g., hypertension) will limit the use of decongestants. History of migraine is noteworthy because migraine headaches can be confused with sinus pain. Some prescriptions can exacerbate or even cause nasal dysfunction, especially medications (anti-histamines, diuretics, antidepressants) that can lead to excessive nasal dryness (sicca). Drug allergies should be noted. Previous nasal surgery, if done, may not have been successful or even led to increased problems. Cigarette smoking and excessive use of alcohol and caffeine have...
Adenocarcinomas exhibit a male predominance with a peak age incidence between 55 and 60 years.5 Adenocarcinomas tend to arise superiorly in the sinonasal region and commonly involve the ethmoid sinuses. There is a significantly higher incidence of adenocarcinomas in workers exposed to wood dust particles. Acheson estimated that woodworkers in the furniture industry in southern England had an approximately 875-fold increased incidence in sinonasal adenocarcinoma when compared to the normal population.17 Sinonasal adenocarcinomas may assume three basic histologic forms papillary, sessile, and alveolar-mucoid.15 Although one pattern may dominate a particular tumor, a combination of all three types also may coexist. The papillary form is the type associated with woodworkers and tends to be more localized with a better prognosis. In contrast, the sessile and alveolar-mucoid forms are locally more aggressive with a greater metastatic potential and carry a poorer prognosis.
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