View of Pathologist on Medical Consequences of the Chernobyl Accident: Neoplasms
Title: View of Pathologist on Medical Consequences of the Chernobyl Accident: Neoplasms
Author: Lushnikov E.F
Reference: Journal” МЕДИЦИНСКАЯ РАДИОЛОГИЯ И РАДИАЦИОННАЯ БЕЗОПАСНОСТЬ“53- 1 : 2008
ISSN: 0025-8334
Keywords: CHERNOBYL ACCIDENT, MEDICAL CONSEQUENCES, NEOPLASMS, THYROID CARCINOMA
Abstract: Purpose: To review medical consequences of the Chernobyl accident taking oncological morbidity and mortality in population as example. Material and methods: Data of the demographic and medical statistics of oncological morbidity and mortality as well as results of studies fulfilled by colleagues of the laboratory of pathological anatomy headed by author of the paper were used. Results: It was established that morbidity and mortality rates of malignant neoplasms that could be/not be related to consequences of the accident were varied in different regions of Russia. Completeness and reliability of the data of oncological statistics were acceptable for the public health organization but insufficient for assessment of medical consequences of the accident for past years and estimation of risks for population morbidity and mortality resulted from malignant tumors that could be induced by ionizing radiation as the statistics does not take into consideration the peculiarities of the onco-nosological forms. There were several reasons (difficulties of diagnostics, death of the majority of patients at home, lack or insufficient pre- or post-mortal morphological diagnosis verification, low quality of medical and statistical documentation) that created obstacles for improvement of the quality of medical information. More reliable data of morbidity and mortality in population exposed to the accidental radiation could be obtained from the special registry based on the information that controlled by morphological verification of diagnosis. Analysis of morbidity and mortality in accordance with the 1CD-10 can not provide any notion about relationship between pathology and various factors of accident as each of onco-nosological form has own etiological, pathogenetical, clinico-anatomical peculiarities and should be specially analyzed.
URL: http://elibrary.ru/item.asp?id=10019507
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