How Does Asbestos Cause Cancer?

Asbestos exposure causes mesothelioma cancer when its fibers are inhaled or ingested. They can become stuck within sensitive tissue around your lungs or belly, causing inflammation and cell damage over many years. The time from when you’re exposed to when cancer may start to develop is between 10 to 60 years.

As the fibers damage DNA over time, genetic changes lead to abnormal cell growth and cancer. Asbestos exposure causes half of all work-related cancer deaths.

Asbestos can also contaminate products that contain other minerals such as talc. The presence of asbestos in talc increases your risk of developing various cancers, including ovarian cancer and mesothelioma.

How asbestos exposure develops into cancer in different parts of the body

What Types of Cancer Are Caused by Asbestos?

Asbestos exposure is known to cause mesothelioma, lung cancer, laryngeal cancer and ovarian cancer. Mesothelioma and lung cancer are the most frequently diagnosed types of asbestos cancer. 

Higher exposure levels and longer durations increase the risk of asbestos-related cancers and shorten the latency period. Globally, approximately 200,000 deaths are connected to occupational asbestos exposure, according to the World Health Organization

Key Facts About Types of Asbestos Cancer

  • About 4% of lung cancer cases stem from asbestos exposure.
  • The International Agency for Research on Cancer confirmed asbestos exposure causes ovarian cancer.
  • Research shows asbestos exposure increases the risk of laryngeal cancer around 40%.
  • Asbestos is the primary cause of mesothelioma, accounting for more than 80% of mesothelioma cases.

A comprehensive analysis was published in March 2024 on the global burden of occupational asbestos exposure. It reported, “Asbestos fibers are mainly inhaled with air, and have local carcinogenic effects on target organs (lungs, larynx, ovaries) and related serous membranes (pleura, pericardium, peritoneum, vaginal membranes), resulting in lung cancer, larynx (throat) cancer, ovarian cancer, pleura and peritoneal mesothelioma.” 

The authors emphasized no amount of asbestos exposure is safe. The authors also noted asbestos-related ovarian cancer “has been designated as the first gynecological occupational disease in Germany.” It was also noted that “the risk of ovarian cancer was approximately doubled” in women with occupational asbestos exposure.

Mesothelioma Cancer

About 75% of mesothelioma cancer cases form in the protective lining around the lungs, known as the pleura. Approximately 20% of mesothelioma cases develop in the lining of the belly, known as the peritoneum. 

A recent research study discovered 80% of pleural mesothelioma patients have a history of direct or indirect asbestos exposure. Another recent research paper noted an estimated 43,000 deaths occur globally every year from mesothelioma and asbestos-related diseases, or roughly 5 to 10 deaths every hour. The average life expectancy for mesothelioma patients is 12 to 21 months with treatment.

Lung Cancer

Asbestos-related lung cancer kills twice as many Americans each year as mesothelioma. Asbestos exposure was the primary cause of about 4% of the approximately 234,580 total new lung cancer cases in 2024. 

Unlike mesothelioma, lung cancer develops inside your lungs. Combining tobacco and asbestos exposure significantly increases the risk of developing lung cancer, but not mesothelioma. 

About 63% of people diagnosed with localized lung cancer live 5 years or more. Conversely, the 5-year survival is 7% for lung cancer patients with late-stage or metastatic disease (many cancer cells travel to different organs in the body). 

Laryngeal Cancer

Inhaled asbestos fibers can lodge in your voice box as they pass through your windpipe (trachea) on the way to your lungs and cause cancer. A combination of smoking, heavy alcohol use and asbestos exposure significantly increases the risk of laryngeal (throat) cancer.

About 12,650 cases of laryngeal cancer occurred in 2024. Researchers discovered in 2021 that 50% of workers with a history of occupational asbestos exposure had asbestos fibers (the chrysotile type) near their tumor sites. 

Ovarian Cancer

Ovarian cancer involves abnormal growth of cells within your ovaries. In 2024, approximately 19,680 women received a diagnosis of ovarian cancer. Ovarian cancer is the fifth most common cancer among women. It causes more deaths than other reproductive cancers in women.

Recent medical research has established asbestos exposure is one cause of ovarian cancer, which the IARC first confirmed in 2009. A study found evidence of asbestos fibers in 80% of talcum powder product-related ovarian cancer cases.

Cancers Possibly Linked to Asbestos Exposure

There is a correlation between asbestos exposure and other types of cancer. The IARC and other groups are conducting ongoing research to determine if asbestos is a definitive cause of these cancers. 

The IARC identified 3 types of cancer “positively associated” with asbestos exposure: Pharyngeal (throat), stomach and colon cancer. This means there is some evidence of a link, but there isn’t strong enough data to conclude asbestos definitively causes these diseases.

  • Bile duct cancer: Bile duct cancer can be found within the liver. A recent study revealed 40% of patients cited asbestos exposure as their sole risk factor. 
  • Breast cancer: Studies on breast Cancer haven’t found a definitive link with asbestos exposure.
  • Colon cancer: There is a higher risk of colorectal cancer in cement workers and textile workers with asbestos exposure. Our Senior Guide to Cancer outlines other risk factors of colon cancer.
  • Esophageal cancer: A 2021 study reported exposure to asbestos, particularly chrysolite-type, showed a significant and positive association with esophageal cancer.
  • Kidney cancer: While some studies have reported excess deaths from kidney cancer among asbestos-exposed workers, data from other studies is too inconclusive to draw an official correlation.
  • Leukemia: Some studies vaguely linked leukemia to occupational asbestos exposure, but the data is inconclusive.
  • Pharyngeal cancer: The pharynx cavity behind the nose and mouth connects to the esophagus in the throat. A recent research report suggests asbestos is a possible risk factor for pharyngeal cancer.
  • Prostate cancer: Several studies have indicated a possible association between asbestos exposure and prostate cancer. For instance, a recent report concluded there is enough evidence showing asbestos exposure heightens the risk of prostate cancer.
  • Stomach cancer: Researchers have suggested asbestos in water from cement pipes may cause gastrointestinal cancers. A recent report discovered a link between talc exposure and the risk of stomach cancer. WHO already associates gastrointestinal cancers with asbestos exposure, and numerous studies have reported increased incidence of the cancers in exposed populations.

Many risk factors for cancers that get the least attention involve exposure to toxic materials. Asbestos can damage sensitive organs throughout the body and eventually cause cancer. If you have experienced exposure or have a family history of cancer, inform your provider. 

Who Is at Risk for Asbestos-Related Cancers?

Asbestos-related cancers, such as mesothelioma and lung cancer, primarily affect individuals exposed to asbestos fibers, which were widely used in construction, manufacturing, and other industries until the late 20th century. 

Those at highest risk include people who worked directly with asbestos-containing materials, as well as those who experienced secondary exposure through family members or environmental contact. Since symptoms often take decades to appear, many cases are diagnosed years after exposure.

Groups at Higher-Risk for Asbestos Cancer

  • Auto mechanics (brake and clutch repairs)
  • Construction workers (handling insulation, tiles, or roofing)
  • Electricians (working in older buildings with asbestos wiring)
  • Family members (secondary exposure in shared spaces and doing laundry) 
  • Firefighters (exposure during building collapses or renovations)
  • Industrial workers (factories producing asbestos products)
  • Military personnel & veterans (especially Navy veterans in shipyards)
  • Miners (asbestos mining or working near contaminated sites)
  • Shipyard workers (shipbuilding and repair with asbestos materials)

Occupational exposure from many blue-collar professions remains the leading risk factor for asbestos-related cancers. This is particularly the case in industries that heavily relied on asbestos before regulations were enforced. The U.S. military used asbestos throughout most of the 20th century, causing asbestos cancer in thousands of veterans. 

Secondary exposure is also a concern, as family members of workers could inhale fibers carried home on clothing, skin, hair and shoes. Even those who didn’t work directly with asbestos, such as people living near mines or old industrial sites, may face elevated risks. Early detection and understanding exposure history are crucial for improving outcomes.

Joey Barna
Verified Asbestos.com Survivor
Former HVAC Mechanic, Mesothelioma Survivor Shares His Story

Pleural mesothelioma survivor Joey Barna tells us he was exposed to asbestos working in HVAC and restoring old pipes. He recounts, “There were just a lot of old buildings that I worked in. I also worked on old boilers, which were encased in asbestos. At that time, asbestos was considered a state-of-the-art insulator. It was fireproof.”

What Are the Symptoms of Asbestos Cancer?

The most common symptoms of mesothelioma and other asbestos cancers include breathing problems, digestive issues, fatigue, fever and pain. The earliest symptoms can mimic more common respiratory or abdominal cancers. 

Asbestos cancer symptoms differ depending on the location of your tumors. Notifying your doctors of symptoms is the best way to receive an early diagnosis. An early and accurate diagnosis can improve your survival and the options to treat mesothelioma and other cancers.

Common Asbestos Cancer Symptoms

  • Abdominal pain
  • Abdominal swelling
  • Changes in bowel habits
  • Chest pain
  • Chronic sore throat
  • Coughing
  • Difficulty swallowing
  • Digestive issues
  • Nausea
  • Pain during sex
  • Persistent hoarseness
  • Shortness of breath
  • Vomiting

In addition to the physical effects of cancer, over time, long periods of pain can cause emotional symptoms as well. These can include stress, fear, anxiety and depression

If you have a history of asbestos exposure, talk to your doctor about regular health screenings. They should pay special attention to signs that may signal cancer.

Treatment for Asbestos Cancer

Surgery, chemotherapy and radiation are the primary treatment options for asbestos cancer. Treatment success varies, and what works well for one person may be ineffective for another. It’s important to find a doctor specializing in mesothelioma and other asbestos cancers. 

Common Treatments for Asbestos-Related Cancer

  • Chemo: Generalized treatment that can help prevent cancer growth or recurrence.
  • Immunotherapy: Uses your immune system to fight cancer. Drugs like Keytruda (pembrolizumab) and Opdivo (nivolumab), show improved survival rates in some patients, particularly for advanced mesothelioma.
  • Radiation: Targets cancer cells.
  • Surgery: Removes tumors or affected tissue. Most effective in early-stage peritoneal (gastrointestinal lining) disease.

Newer studies in 2025 highlight advancements in combination therapies, such as immunotherapy paired with chemo or targeted drugs. A 2025 study in The Lancet Oncology found that a dual immunotherapy approach of Yervoy (ipilimumab) with Opdivo extended progression-free survival in people with malignant pleural mesothelioma. Additionally, clinical trials exploring CAR T-cell therapy and novel immunotherapies are underway, offering hope for more effective treatments. 

Treatment for asbestos cancer can incur high costs, including travel expenses to cancer centers. Clinical trials can offer a chance at free or low-cost emerging therapy. Our Financial Aid for Cancer Patients Guide also outlines several types of financial compensation.

How to Prevent Asbestos-Related Cancers

To avoid asbestos exposure, wear proper personal protective equipment like respirators and disposable full-body cover suits. Avoid disturbing fragile asbestos-containing materials in buildings. Sealing asbestos areas instead of removing it may also be an option. 

If you could be exposed to legacy asbestos in old equipment or buildings in the course of your job as a construction worker, firefighter, military service member or industrial worker, speak with your employer and union about safety protocols. Teachers and custodians have also developed asbestos-related cancers from legacy asbestos in schools.

How Employers Should Protect Workers

  1. OSHA safety guidelines: Employers must ensure all managers and workers know and follow OSHA’s standards for workplace safety.
  2. Proper training: Employees should not only be aware of OSHA regulations but also trained to follow them. This includes using techniques like wetting debris to reduce asbestos dust. 
  3. Provide PPE: Workers exposed to asbestos fiber levels above OSHA’s permissible exposure limits must be provided with NIOSH-approved respirators or masks and protective clothing. 
  4. Regular air monitoring: Periodic air monitoring for asbestos levels is required. Air quality should be tested at least every 6 months for those potentially exposed above OSHA’s established limits.

While employees should follow safety guidelines to protect themselves, companies are responsible for the safety of their employees. Companies that once manufactured asbestos products are responsible for the safety of their products. Workers at the height of asbestos use in the mid-20th century were often unaware of the dangers. Many weren’t provided adequate protection. 

People exposed to asbestos 20 to 60 years ago may only be diagnosed with related cancers now. If you have a history of asbestos exposure, alert your doctor. Screening tests can detect early signs of asbestos cancer. If you’ve experienced an asbestos-related injury or illness, our Patient Advocates can help you find a specialist, file your VA-benefits claims and connect with an asbestos cancer attorney. An experienced lawyer can help you file an asbestos trust fund claim or lawsuit seeking compensation.

Common Questions About Asbestos Cancers

How is asbestos cancer diagnosed?

Asbestos-related cancers, such as mesothelioma or lung cancer, are typically diagnosed through a combination of imaging tests (X-rays, CT scans or MRIs), biopsies (tissue samples analyzed in a lab) and patient history reviews to confirm asbestos exposure. Blood tests for protein biomarkers, like fibulin-3 or mesothelin-related peptides, may also aid in detection, though imaging and biopsy are the gold standard.

Is there a cure for asbestos cancer?

Currently, there is no definitive cure for asbestos-related cancers, but treatments like surgery, chemo, radiation and immunotherapy can help manage the disease, extend survival and improve quality of life. Emerging therapies, including immunotherapy combinations and targeted drugs, show promise in clinical trials, offering hope for better long-term outcomes.

Does asbestos always cause cancer?

No, asbestos exposure doesn’t always lead to cancer, but it significantly increases the risk. Factors like duration of exposure, type of asbestos fibers and individual health play a role. While some people develop mesothelioma, lung cancer or asbestosis, others may never show symptoms, though there is no safe level of asbestos exposure.

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