Display options
Share it on

Int J Prev Med. 2016 May 19;7:76. doi: 10.4103/2008-7802.182733. eCollection 2016.

Cancer Events After Acute or Chronic Exposure to Sulfur Mustard: A Review of the Literature.

International journal of preventive medicine

Seyed Mansour Razavi, Mohammad Abdollahi, Payman Salamati

Affiliations

  1. Department of Community Medicine, Research Center for Rational Use of Drugs, Tehran University of Medical Sciences, Tehran, Iran.
  2. Department of Toxicology and Pharmacology, Pharmaceutical Sciences Research Center, Tehran University of Medical Sciences, Tehran, Iran.
  3. Department of Community Medicine, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.

PMID: 27280012 PMCID: PMC4882972 DOI: 10.4103/2008-7802.182733

Abstract

BACKGROUND: Sulfur mustard (SM) has been considered as a carcinogen in the laboratory studies. However, its carcinogenic effects on human beings were not well discussed. The main purpose of our study is to assess carcinogenesis of SM following acute and/or chronic exposures in human beings.

METHODS: The valid scientific English and Persian databases including PubMed, Web of Science, Scopus, IranMedex, and Irandoc were searched and the collected papers reviewed. The used keywords were in two languages: English and Persian. The inclusion criteria were the published original articles indexed in above-mentioned databases. Eleven full-texts out of 296 articles were found relevant and then assessed.

RESULTS: Studies on the workers of the SM factories during the World Wars showed that the long-term chronic exposure to mustards can cause a variety of cancers in the organs such as oral cavity, larynx, lung, and skin. Respiratory system was the most important affected system. Acute single exposure to SM was assumed as the carcinogenic inducer in the lung and blood and for few cancers including basal cell carcinoma and squamous cell carcinoma.

CONCLUSIONS: SM is a proven carcinogen in chronic situations although data are not enough to strongly conclude in acute exposure.

Keywords: Cancer; Iraq-Iran war; chemical warfare; mustard gas; sulfur mustard

References

  1. Fundam Clin Pharmacol. 2005 Jun;19(3):297-315 - PubMed
  2. Lancet. 1968 Jun 1;1(7553):1161-3 - PubMed
  3. J Dermatol. 1978 Apr;5(2):49-60 - PubMed
  4. Chin J Traumatol. 2014;17(3):165-9 - PubMed
  5. Cancer Causes Control. 2013 Jan;24(1):99-105 - PubMed
  6. Med J Islam Repub Iran. 2013 May;27(2):83-90 - PubMed
  7. Immunopharmacol Immunotoxicol. 2003 Aug;25(3):423-30 - PubMed
  8. Iran J Psychiatry Behav Sci. 2014 Fall;8(3):11-21 - PubMed
  9. Annu Rev Public Health. 2013;34:61-75 - PubMed
  10. Adv Cancer Res. 2003;90:127-56 - PubMed
  11. Clin Lung Cancer. 2010 Jan;11(1):13-7 - PubMed
  12. Br J Ind Med. 1988 Oct;45(10):652-9 - PubMed
  13. Daru. 2012 Oct 09;20(1):51 - PubMed
  14. Environ Health Perspect. 2002 May;110(5):519-21 - PubMed
  15. Toxicol Appl Pharmacol. 2014 Jul 1;278(1):39-44 - PubMed
  16. Pharmacol Rev. 1996 Jun;48(2):289-326 - PubMed
  17. Clin Otolaryngol Allied Sci. 1981 Jun;6(3):165-70 - PubMed
  18. Mutat Res. 2009 Aug;678(1):1-6 - PubMed
  19. Int J Prev Med. 2013 Apr;4(4):383-9 - PubMed
  20. Am J Epidemiol. 2011 Mar 15;173(6):659-66 - PubMed
  21. Chin J Traumatol. 2013;16(3):163-8 - PubMed
  22. Arch Iran Med. 2013 Sep;16(9):542-50 - PubMed

Publication Types