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Albert Ehrlich, MD; Arthur N. Rohl, PhD; Edwin C. Holstein, MD

JAMA. 1985;254(20):2932-2933.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

CARCINOMAS involving the gastrointestinal tract, as a group, are the most common forms of cancer in the United States, with the colon and the rectum being the most frequently involved sites.

Geographic pathology suggests that environmental factors play a strong role in the etiology of these tumors. There is an increase in the number of deaths from colon cancer in asbestos workers. In a study of 17,800 asbestos insulation workers, instead of 38.1 expected deaths due to cancer of the colon and rectum, there were 59.¹ Other studies support the association between asbestos exposure and colon-rectal cancer.²

Report of a Case

A 66-year-old asbestos insulator had worked for over 32 years putting asbestos around pipes and removing asbestos from old pipes.

Dyspnea on exertion, without angina, started about 1967. Clubbing of fingers and bilateral extensive rales were found on physical examination.

The clinical diagnosis of advanced asbestosis was . . . [Full Text PDF of this Article]

Author Affiliations
From the Environmental Sciences Laboratory, Department of Community Medicine, Mount Sinai Medical Center, New York.

Footnotes
Reprint requests to Environmental Sciences Laboratory, Department of Community Medicine, Mount Sinai Medical Center, 1 Gustave L. Levy PI, New York, NY 10029 (Dr Ehrlich).

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