title: Pentachlorophenol and cancer risk: focusing the lens on specific chlorophenols and contaminants.
abstract: OBJECTIVE
  Pentachlorophenol, a fungicide widely used as a wood preservative, was classified in 1999 by the International Agency for Research on Cancer as a possible human carcinogen. We reviewed currently available data to determine the extent to which recent studies assist in distinguishing the effect of pentachlorophenol from that of its contaminants (e.g., dioxins and other chlorophenols).
  
  
  METHODS
  We performed a systematic review of published studies pertaining to cancer risk in relation to pentachlorophenol exposure, focusing on results pertaining specifically to all cancer sites and specific hematopoietic cancers, and data pertaining to risks associated with other types of chlorophenols, dioxins, or furans.
  
  
  RESULTS
  The pentachlorophenol studies presented considerable evidence pertaining to hematopoietic cancers, with strong associations seen in multiple studies, in different locations, and using different designs. There is little evidence of an association between these cancers and chlorophenols that contain fewer than four chlorines. The extension of a large cohort study of sawmill workers, with follow-up to 1995, provided information about risks of relatively rare cancers (e.g., non-Hodgkin lymphoma, multiple myeloma), using a validated exposure assessment procedure that distinguishes between exposures to pentachlorophenol and tetrachlorophenol. In contrast with dioxin, pentachlorophenol exposure has not been associated with total cancer incidence or mortality.
  
  
  CONCLUSIONS
  The updated cohort study focusing on pentachlorophenol provides increased statistical power and precision, and demonstrates associations between hematopoietic cancer and pentachlorophenol exposure not observed in earlier evaluations of this cohort. Contaminant confounding is an unlikely explanation for the risks seen with pentachlorophenol exposure.
authors: National Center for Environmental Assessment, US Environmental Protection Agency, Washington, DC 20460, USA. cooper.glinda@epa.gov
authors: Glinda S
authors: GS
authors: Cooper
authors: Samantha
authors: S
authors: Jones
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002273:Carcinogens / Q000633:toxicity*; D016022:Case-Control Studies; D002648:Child; D002733:Chlorophenols / Q000633:toxicity*; D015331:Cohort Studies; D004147:Dioxins / Q000633:toxicity*; D004781:Environmental Exposure; D005260:Female; D005659:Fungicides, Industrial / Q000633:toxicity*; D019337:Hematologic Neoplasms / Q000139:chemically induced* / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010416:Pentachlorophenol / Q000633:toxicity*; D018570:Risk Assessment
chemical_list: D002273:Carcinogens; D002733:Chlorophenols; D004147:Dioxins; D005659:Fungicides, Industrial; D010416:Pentachlorophenol