Korean J Pathol.
1999 Nov;33(11):1024-1032.
Talc Deposition in Lipoma: A Pathologic and Mineralogic Study
- Affiliations
-
- 1Department of Pathology, Section of Cancer Research Medical Institute of Dong Guk University.
- 2Department of Preventive Medicine, College of Medicine, Dong Guk University, Kyung-Ju 780-714, Korea.
- 3Department of Environmental Health, Nagoya City Public Health Reserch Institute.
- 4National Institute of Industrial Health, Ministry of Labor, Japan.
Abstract
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Three cases of lipomas associated with heavy talc deposits are reported in local inhabitants
near a fiber glass factory. Pathologic and mineralogical analysis by polarizing microscopy,
scanning and transmission electron microscopy with energy dispersive X-ray analysis and
X-ray diffraction of mass were done. Simultaneously, we performed an epidemiological survey
and a mineralogical study of disposed fiber glass from waste site and ground water. All
tumors consisted of mature fat tissue containing an abundant birefringent talc fibers and
particles under polarized light. The concentrations of the fibers were 494.7, 6.7 and 50.7 million
fibers per gram of dry tissue. The fibers were needlelike with rectangular fractured ends, up to
17 micrometer in length and 0.5 micrometer in diameter. EDX and X-ray diffraction analysis of the fibers
showed that 71 to 100% of the fibers were magnesium silicate, talc. We also identified
magnesium silicate fibers in the fiber glass from the waste site and in the ground water which
were similar to talc fibers in lipomas,. We concluded that fibrous talc, a component of
fiberglass waste, might be associated with the development of lipomas via unknown exposure
route.