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Original Summaries of Selected CANCERLIT Records
Etiology of Childhood Acute Myeloid Leukemia (AML)

Last modified on: Tuesday, April 20, 1999 10:52:30
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The abstract of a doctoral dissertation presented at the Ohio State University (Steinbuch; ICDB/95615376), contained data on a survey of a range of factors in the etiology of childhood acute myeloid leukemia (AML). This case-control study described the preliminary results of an analysis of a subset of 271 cases (eventually there will be 525) and 322 controls. Interim analysis focused on maternal exposures. Cases were obtained through the Children's Cancer Group, and age- and race-matched regional population controls were selected by random digit dialing. Information was collected through telephone interviews with parents. Among the statistically significant associations were occupational exposure to soldering with an odds ratio (OR) of 4.3 or pesticides, OR 2.09, the latter increasing with cumulative pesticide exposure by air contact (trend p = 0.02). Postnatal exposure to rodenticides was associated with an elevated OR of 1.80, and there was a 40% excess risk of AML among children whose mothers had ever used marijuana. An increased risk of AML was seen among children who had ever been exposed to any X-rays for diagnostic purposes, with ORs between 2.20 and 4.64 (latter for back and spine). The limited sample precluded a more thorough evaluation, which will be attempted in the full study. This may lead to a better understanding of the possible biologic mechanisms involved in the etiology of childhood AML.

November, 1995


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