[Adenocarcinoma of the nose after occupational exposure to wood dust: description of a case].
The occupational exposure to wood dust, classified by IARC as carcinogenic certain may determine the onset of epithelial tumors of the mass graves and nasal sinuses. The symptoms of these malignancies are aspecific (nasal obstruction, rhinorrhea), the diagnosis is often delayed.


METHODS
Worker of 59 years occupied, from 1960 to 2005, in carpentry (construction of coffins), who died in 2006 for a nasal adenocarcinoma of the mass graves extended to the cranial base, initially considered intracranial cancer given the wide cranial fossae prior to the histological diagnosis. The case is emblematic to late diagnosis and long survival (the worker has survived for more than three years after TAC diagnosis of intracranial mass occurred in 2003).


CONCLUSIONS
Extending the cranial base of a cancer of the nose and sinuses occurred in a worker exposed to wood dust is a serious critical in the system of health surveillance in the company. This rare neoplasm is a "sentinel event" that highlights a problem of underestimation of this occupational tumor and consequent failure of occupational disease complaint is therefore required a careful accounting and reporting of cases.
Massaro
T
T
Università degli studi di Bari, Dipartimento medicina interna e medicina pubblica, Sezione medicina del Lavoro B. Ramazzini, Bari.
Cavone
D
D
Cimmino
A
A
Leo
Am
A
Pinca
A
A
Musti
E M
EM
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000209:etiology*; D004391:Dust; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009669:Nose Neoplasms / Q000175:diagnosis* / Q000209:etiology*; D009784:Occupational Diseases / Q000175:diagnosis* / Q000209:etiology*; D016273:Occupational Exposure / Q000009:adverse effects*; D014934:Wood
D004391:Dust