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Asbestos and Lung Disease: Overview for Primary Care Clinicians

What is Asbestos?


Asbestos is a naturally occurring fibrous silicate mineral.
It is extremely durable, heat-resistant, and an excellent insulator (cancer.gov, WHO).
Historically, asbestos was widely used in:

  • Construction (cement, roofing)

  • Shipbuilding (insulation)

  • Manufacturing (brake pads, textiles)


Why is Asbestos Dangerous?

  • Inhaled asbestos fibers cause chronic lung inflammation and fibrosis (scarring and stiffening of lung tissue).

  • Diseases linked to asbestos exposure include:


    • Asbestosis (progressive lung scarring)

    • Lung cancer

    • Malignant mesothelioma (cancer of the lung lining) (cancer.gov, Ma et al., 2022)

All forms of asbestos are classified as Group 1 carcinogens by the International Agency for Research on Cancer (IARC).


Category Disease Notes
Benign Asbestosis Chronic pulmonary fibrosis; progressive dyspnea and lung scarring.
Pleural Plaques Localized fibrosis of pleura; benign, asymptomatic marker of exposure.
Diffuse Pleural Thickening Widespread pleural fibrosis; may restrict lung expansion and cause breathlessness.
Benign Asbestos Pleural Effusion (BAPE) Early asbestos manifestation; pleural effusion without cancer; needs monitoring.
Cancerous Malignant Mesothelioma Aggressive pleural/peritoneal cancer; asbestos is the main cause; poor prognosis.
Asbestos-related Lung Cancer Bronchogenic carcinoma; asbestos exposure plus smoking greatly ↑ risk.


Types of Asbestos


Mineral Family Example Types Fiber Shape
Serpentine Chrysotile ("white asbestos") Long, curly fibers
Amphibole Amosite ("brown"), Crocidolite ("blue") Straight,...

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