title: [Carcinogenicity of antineoplastic drugs: classification, protection and prevention, use and evidence].
abstract: Many antineoplastic agents have been shown to be mutagenic, teratogenic and carcinogenic in experimental studies and secondary malignant neoplasms are known to be associated with several specific therapeutic treatments. However, the occupational exposure to antineoplastic drugs in health care workers has different routes of exposure, dose and duration compared to patients undergoing treatment protocols. The aims of this review are to analyze and to update the National and International Classification, and deepening the topics of occupational exposure, current operating conditions, the technical and operational progress to reducing the exposure, the epidemiological evidence and exposure measurement data available. Finally, we illustrate the dispersion in the environment as a real risk for the general population.
authors.forename: Pietro
authors.initials: P
authors.lastname: Apostoli
authors.forename: Simona
authors.initials: S
authors.lastname: Catalani
authors.forename: Roberto
authors.initials: R
authors.lastname: Bergonzi
authors.forename: Carla
authors.initials: C
authors.lastname: Galloni
authors.forename: Martina
authors.initials: M
authors.lastname: Minguzzi
mesh_terms: D000970:Antineoplastic Agents / Q000145:classification / Q000633:toxicity*; D002273:Carcinogens / Q000145:classification / Q000633:toxicity*; D019317:Evidence-Based Medicine; D006282:Health Personnel; D006801:Humans; D007558:Italy / Q000453:epidemiology; D009369:Neoplasms / Q000139:chemically induced / Q000453:epidemiology / Q000517:prevention & control*; D009784:Occupational Diseases / Q000139:chemically induced / Q000453:epidemiology / Q000517:prevention & control*; D016273:Occupational Exposure / Q000517:prevention & control*; D018570:Risk Assessment; D012307:Risk Factors; D017751:Safety Management; D013997:Time Factors
chemical_list: D000970:Antineoplastic Agents; D002273:Carcinogens