<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532022000100092</article-id>
<article-id pub-id-type="doi">10.31252/rpso.05.02.2022</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[ADENOCARCINOMA NASOSSINUSAL - A RELEVÂNCIA DA HISTÓRIA OCUPACIONAL]]></article-title>
<article-title xml:lang="en"><![CDATA[NASOSINUSAL ADENOCARCINOMA - THE IMPORTANCE OF OCCUPATIONAL HISTORY]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leite]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Médica Interna de Medicina Geral e Familiar na USF Monte Crasto  ]]></institution>
<addr-line><![CDATA[Pedrouços Maia]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Interno de Medicina do Trabalho do Instituto Português de Oncologia do Porto  ]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>13</volume>
<fpage>92</fpage>
<lpage>99</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532022000100092&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532022000100092&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532022000100092&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução Os Adenocarcinomas Nasossinusais são neoplasias raras que correspondem a menos de 5% dos cancros da cabeça e do pescoço. Os fatores de risco ocupacional que estão relacionados com uma maior incidência de Adenocarcinomas Nasossinusais incluem a exposição crónica a pó de madeira e/ou de couro, níquel e compostos de crómio, formaldeído e outros solventes, além de hidrocarbonetos aromáticos policíclicos. As profissões com exposição a pó de madeiras densas estão particularmente associadas ao subtipo de adenocarcinoma do tipo intestinal, cuja localização mais frequente ocorre no seio etmoidal e na parte superior da cavidade nasal. O relato deste caso clínico tem como objetivo sensibilizar os profissionais de saúde para a vigilância e diagnóstico precoce destes cancros ocupacionais.  Descrição do Caso Clínico Os autores apresentam o caso de um homem de 81 anos, que trabalhou durante 56 anos como marceneiro na indústria do mobiliário. No seu histórico ocupacional nega utilização de Equipamento de Proteção Individual, nomeadamente a nível respiratório. Numa consulta de vigilância com o seu médico de família referiu epistaxes e obstrução nasal ocasional da narina direita com cerca de três meses de evolução. Na avaliação foi diagnosticada uma lesão neoformativa da fossa nasal direita e foi encaminhado com urgência para consulta de Otorrinolaringologia. Realizou biópsia da lesão que revelou &#8220;aspetos morfológicos de adenocarcinoma do tipo intestinal&#8221;. Depois de avaliado em consulta de grupo, foi proposto para cirurgia endoscópica nasossinusal e radioterapia adjuvante.  Discussão/Conclusão A exposição ocupacional ao pó de madeira deve sensibilizar o médico a suspeitar de sintomas sugestivos de cancro ocupacional. O longo período de latência para o desenvolvimento do adenocarcinoma e a maior sobrevivência das pessoas tratadas nas fases iniciais da doença tornam necessária uma vigilância médica periódica para deteção precoce do adenocarcinoma nasal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction Nasosinusal Adenocarcinomas are rare neoplasms that account for less than 5% of head and neck cancers. Occupational risk factors that have been linked to a higher incidence of Nasosinusal Adenocarcinomas include chronic exposure to wood dust and/or leather, nickel and chromium compounds, formaldehyde and other solvents, and polycyclic aromatic hydrocarbons. Occupations with exposure to dense wood dust are particularly associated with the intestinal subtype of adenocarcinoma, the most frequent location of which occurs in the ethmoid sinus and upper nasal cavity. The report of this clinical case aims to raise awareness among health professionals for the surveillance and early diagnosis of these occupational cancers.  Description of the Clinical Case The authors present the case of an 81-year-old man who worked for 56 years as a joiner in the furniture industry. In his occupational history he denied the use of Personal Protective Equipment, namely respiratory protection. In a surveillance consultation with his family physician, he reported epistaxis and occasional nasal obstruction of the right nostril with an evolution of about three months. During the evaluation, a neoformative lesion was diagnosed in the right nasal fossa and the patient was immediately referred to Otorhinolaryngology consultation. A biopsy of the lesion revealed "morphological aspects of intestinal adenocarcinoma". After evaluation in group consultation, he was proposed for endoscopic sinus surgery and adjuvant radiotherapy.  Discussion/Conclusion Occupational exposure to wood dust should lower the physician's threshold of suspicion for symptoms suggestive of occupational cancer. The long latency period for the development of adenocarcinoma and the higher survival of people treated in the early stages of the disease make periodic medical surveillance in the early detection of nasal adenocarcinoma necessary.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Adenocarcinoma Nasossinusal]]></kwd>
<kwd lng="pt"><![CDATA[Pó]]></kwd>
<kwd lng="pt"><![CDATA[de Madeira]]></kwd>
<kwd lng="pt"><![CDATA[Doença Profissional]]></kwd>
<kwd lng="pt"><![CDATA[Medicina do Trabalho]]></kwd>
<kwd lng="pt"><![CDATA[Medicina Geral e Familiar.]]></kwd>
<kwd lng="en"><![CDATA[Nasosinusal Adenocarcinoma]]></kwd>
<kwd lng="en"><![CDATA[Wood Dust]]></kwd>
<kwd lng="en"><![CDATA[Occupational Disease]]></kwd>
<kwd lng="en"><![CDATA[Ocupational Medicine]]></kwd>
<kwd lng="en"><![CDATA[General and Family Medicine.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bonzini]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Battaglia]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Parassoni]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Casa]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Facchinetti]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Turri-Zanoni]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence of occupational hazards in patients with different types of epithelial sinonasal cancers]]></article-title>
<source><![CDATA[Rhinology]]></source>
<year>2013</year>
<volume>51</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>31-6</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Breda]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Miranda]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adenocarcinoma nasal- Experiência do serviço de ORL do Hospital de Braga]]></article-title>
<source><![CDATA[Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço]]></source>
<year>2017</year>
<volume>54</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>233-8</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[d'Errico]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pasian]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Baratti]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Zanelli]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Alfonzo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gilardi]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A case-control study on occupational risk factors for sino-nasal cancer]]></article-title>
<source><![CDATA[Occupational and Environmental Medicine]]></source>
<year>2009</year>
<volume>66</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>448-55</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Monteiro]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Andre]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Esteves]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Sargento]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A Potential Link Between Prolonged Cork Exposure and Intestinal-Type Sinonasal Adenocarcinoma - Special Findings of a Retrospective Cohort Analysis]]></article-title>
<source><![CDATA[Frontiers in Oncology]]></source>
<year>2020</year>
<volume>10</volume>
<page-range>565036</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Llorente]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Perez-Escuredo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Alvarez-Marcos]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Suarez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Hermsen]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Genetic and clinical aspects of wood dust related intestinal-type sinonasal adenocarcinoma: a review]]></article-title>
<source><![CDATA[European Archives of Otorhinolaryngology]]></source>
<year>2009</year>
<volume>266</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-7</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leivo]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Holmila]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Luce]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Steiniche]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Dictor]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Heikkilä]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Occurrence of Sinonasal Intestinal-Type Adenocarcinoma and Non-Intestinal-Type Adenocarcinoma in Two Countries with Different Patterns of Wood Dust Exposure]]></article-title>
<source><![CDATA[Cancers (Basel)]]></source>
<year>2021</year>
<volume>13</volume>
<numero>20</numero>
<issue>20</issue>
<page-range>5245</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barnes]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intestinal-Type Adenocarcinoma of the Nasal Cavity and Paranasal Sinuses]]></article-title>
<source><![CDATA[The American Journal of Surgical Pathology]]></source>
<year>1986</year>
<volume>10</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>192-202</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wilhelmsson]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Lundh]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nasal epithelium in woodworkers in the furniture industry. A histological and cytological study]]></article-title>
<source><![CDATA[Acta Otolaryngologica]]></source>
<year>1984</year>
<volume>98</volume>
<numero>3-4</numero>
<issue>3-4</issue>
<page-range>321-34</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Klintenberg]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Olofsson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hellquist]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Sokjer]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adenocarcinoma of the ethmoid sinuses. A review of 28 cases with special reference to wood dust exposure]]></article-title>
<source><![CDATA[Cancer]]></source>
<year>1984</year>
<volume>54</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>482-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kleinsasser]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Schroeder]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adenocarcinomas of the inner nose after exposure to wood dust. Morphological findings and relationships between histopathology and clinical behavior in 79 cases]]></article-title>
<source><![CDATA[Archives of Otorhinolaryngology]]></source>
<year>1988</year>
<volume>245</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-15</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Choussy]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Ferron]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Vedrine]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Toussaint]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Lietin]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Marandas]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adenocarcinoma of Ethmoid: a GETTEC retrospective multicenter study of 418 cases]]></article-title>
<source><![CDATA[Laryngoscope]]></source>
<year>2008</year>
<volume>118</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>437-43</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Acheson]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cowdell]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Hadfield]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Macbeth]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nasal cancer in woodworkers in the furniture industry]]></article-title>
<source><![CDATA[British Medical Journal]]></source>
<year>1968</year>
<volume>2</volume>
<numero>5605</numero>
<issue>5605</issue>
<page-range>587-96</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hagström]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Schlünssen]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Eriksson]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
</person-group>
<source><![CDATA[Exposure to Softwood Dust in the Wood Industry]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vallieres]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pintos]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Parent]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Siemiatycki]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Occupational exposure to wood dust and risk of lung cancer in two population-based case-control studies in Montreal, Canada]]></article-title>
<source><![CDATA[Environmental Health]]></source>
<year>2015</year>
<volume>14</volume>
<page-range>1</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<collab>IARC</collab>
<article-title xml:lang=""><![CDATA[Wood dust]]></article-title>
<source><![CDATA[IARC Monogr Eval Carcinog Risks Hum]]></source>
<year>1995</year>
<volume>62</volume>
<page-range>35-215</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Emanuelli]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Alexandre]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cazzador]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Comiati]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Volo]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Zanon]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A case-case study on sinonasal cancer prevention: effect from dust reduction in woodworking and risk of mastic/solvents in shoemaking]]></article-title>
<source><![CDATA[Journal of Occupational Medicine and Toxicology]]></source>
<year>2016</year>
<volume>11</volume>
<page-range>35</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Principais riscos e fatores de risco ocupacionais dos marceneiros e carpinteiros, bem como doenças profissionais associadas e medidas de proteção recomendadas]]></article-title>
<source><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></source>
<year>2016</year>
<volume>1</volume>
<page-range>S006-19</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
