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    Agent Orange Linked To Skin Cancer Risk
    By News Staff | January 29th 2014 09:18 AM | 3 comments | Print | E-mail | Track Comments

    Military veterans exposed to the herbicide Agent Orange may be at higher risk for certain types of skin cancer, suggests a new report.


    Agent Orange is a defoliant famously used by the British military during the Malayan Emergency and the U.S. military period of the Vietnam War.

    The study adds to existing evidence that risk of non-melanotic invasive skin cancer (NMISC) is increased even four decades after Agent Orange exposure, with at least some exposed veterans having unusually aggressive non-melanoma skin cancers. 

    Skin Cancers Present in About Half of Vets Exposed to Agent Orange

    During American involvement in the Vietnam War, Agent Orange was widely used as herbicide and jungle defoliant. It has been linked to a wide range of cancers and other diseases, caused by the highly toxic dioxin contaminant TCDD. "TCDD is among the most carcinogenic compounds ever to undergo widespread use in the environment," according to Dr. Mark W. Clemens of The University of Texas MD Anderson Cancer Center and co-authors.

    The Veterans Affairs administration of the US government recognizes and provides benefits for certain cancers and health problems associated with prior dioxin exposure during military service, however skin cancer is currently not one of them. 

    The researchers analyzed medical records of 100 consecutive men who enrolled in the Agent Orange registry at the Veterans Affairs Hospital of Washington, DC, between August 2009 and January 2010. Exposure to TCDD consisted of living or working in contaminated areas for 56 percent of veterans, actively spraying Agent Orange in 30 percent, and traveling in contaminated areas for 14 percent. The study was limited to men with lighter skin types.

    The rate of NMISC in TCDD-exposed veterans was 51 percent—about twice as high as the rate expected in men of similar age group. The risk of skin cancer increased to 73 percent for veterans who actively sprayed Agent Orange. Exposed men with the lightest skin types and those with lighter eyes were also at higher risk.

    Forty-three percent of the veterans had chloracne, a skin condition specifically caused by exposure to dioxins. For this group, the rate of NMISC was more than 80 percent.

    The rate of malignant melanoma, the most serious type of skin cancer, was similar to that expected in men of similar age. However, the article includes two case reports of unusually aggressive NMISC — with numerous recurrences requiring multiple surgeries — occurring in TCDD-exposed veterans.

    Exposure to Agent Orange and TCDD has been linked to a wide range of health problems, including many different cancers. However, its association with the basal cell carcinoma and squamous cell carcinoma—the two most common types of skin cancer—has been unclear.

    Cases of "aggressive and diffuse" non-melanoma skin cancers in TCDD-exposed veterans were first reported in plastic surgery journals in the mid-1980s. Dr. Clemens and colleagues initiated their study after observing similar patients in their clinic over the last few years. The researchers emphasize that their study has some important limitations—including the lack of detailed information on TCDD exposure and the absence of a comparison group of Vietnam-era veterans not exposed to Agent Orange.

    Nevertheless, the authors say their results strengthen the previously reported association between TCDD exposure and the development of NMISC, even many years after exposure. Certain groups appear to be at particularly high risk, including veterans actively involved in spraying Agent Orange, those with chloracne, and those with lighter skin types. Clemens and co-authors write, "Further studies are warranted to determine the relative risk within this patient population and to determine appropriate management strategies so that veterans may receive the care they earned in service."


    Published in The Journal of Plastic and Reconstructive Surgery.

    Comments

    Interesting article, I have always felt there maybe a connectionI was in Vietnam 1969-1970 in an area where Agent orange was used. I have had skin cancer on my face 6 times requiring MOES and reconstructive surgery and once on my fore arm.

    I've been waiting to see an article like this. I've been trying to get some kind of compensation for my dead husband of 2 years because he had malignant Stage IV Melanoma from being sprayed with Agent Orange while he was in the army in Viet Nam. He even sprayed the surrounding perimeters of their camps out in the jungles of Da Nang. There are many cancers that are being compensated for for Veteran's that served in Viet Nam but melanoma isn't one of them yet. I'm praying that they'll put melanoma on the list. I can't bring back my husband of 41 years, but I know he'd rest easier to see that I'm being taken care of by the Veterans Administration.

    I was a sergeant in Vietnam Veteran. Our platoon engaged in night ambush patrols in the area extending from the boundary with the Cambodian "sanctuaries" into Cu Chi. This strategic area included Tay Ninh, Dautieng, the Michelin plantation, the Hobo Woods, Pine Ridge and Nui Ba Den.
    This area provided the shortest corridor connecting the southern end of the Ho Chi Minh trail with Saigon. Public Military records state that this region was the second most heavily sprayed area in Vietnam.

    We patrolled all day long and then at night set up our position and slept in the defoliated mess at night.
    In the past six years, I have been treated by the VA for five skin cancers on my calves and back of my ear. I have experienced a large basal cell carcinoma on my nose -- received MOH's surgery again by the VA.
    Recently, I was treated for squamous cell carcinoma of the right true vocal fold.
    From this entire cluster of cancers, the VA claimed responsibility and service connection only for the throat cancer.
    The VA still has not initiated any study or attempts to connect any of these other basal and squamous cell cancer to exposure to Agent Orange.
    This article is long over due. And maybe too late. Vietnam veterans are passing on, and the potential evidence is fading away into the dustbin of history.