Aims. Cases of malignant mesothelioma (MM) are increasing in Italy, despite the fact that asbestos has been banned for more than ten years. The Emilia-Romagna Mesothelioma Registry, which works in association with the National Mesothelioma Registry, carries out the epidemiological surveillance of this pathology. Data collected in the period 1996-2006 are reported. Materials and methods. Cases of MM affecting the pleura and extrapleural sites (peritoneum, pericardium and tunica vaginalis of the testicle) observed among residents in Emilia-Romagna at the time of diagnosis are recorded. Significant medical reports and information about asbestos exposure are collected. The survey network is mainly composed of pathologists and occupational physicians. Results. At 30/4/2006, 938 cases had been detected. 764 cases were certified as sure MM, 85 as probable and 89 as possible: anatomo-pathological confirmation was present in 90.5% of the cases. Most cases affected the pleura (89.8%); other sites included the peritoneum (8.5%) and the pericardium and the tunica vaginalis of the testicle (1.7%). The overall gender ratio (M/F) was 2.6/1: 2.8/1 for pleura, parity for peritoneum (1/1). 67% of the cases were diagnosed after 64 years of age, 30.1% between 45-64 years and 2.9% under 45 years of age. The standardized regional incidence rate x 10s person-years was estimated to be 2.6 in males and 0.9 in females, with peaks of 4.5 and 1.7 in Reggio Emilia. In 78.7% of males and 45.7% of females asbestos exposure was confirmed. Conclusions. Our study confirms the increase of MM incidence, the prevailing aetiology from asbestos in males and the difficult demonstration of asbestos exposure in females. The percentage of extrapleural MM is considerable and the number of cases observed in the age group over 64 is noteworthy.
|Translated title of the contribution||Malignant mesothelioma in the Emilia-Romagna Region of Italy: The data of the regional registry|
|Number of pages||8|
|Journal||European Journal of Oncology|
|Publication status||Published - Dec 2006|
ASJC Scopus subject areas
- Cancer Research