A cohort study was undertaken of 2119 workers from Denmark who were po
tentially exposed to phenoxy herbicides. The workers were from two fac
tories that produced phenoxy herbicides since 1947 and 1951, respectiv
ely. They had been employed either in the manufacture of phenoxy herbi
cide or in the manual service functions. The main product: was 4-chlor
o-2-methylphenoxyacetic acid (MCPA). From 1947 to 1993 the 2119 worker
s had a slightly lower overall cancer incidence than the Danish popula
tion (observed = 204; expected [Exp] = 234.23; standardized incidence
ratio [SIR]=0.87; 95% confidence interval [CI] 0.8-1.0). Four soft-tis
sue sarcoma cases were observed (Exp = 2.47; SIR = 1.62; 95% CI=0.4-4.
1). All four cases occurred among men from Kemisk Vaerk Koge (Exp=1.68
; SIR=2.38; 95% CI = 0.7-6.1). There were six cases of non-Hodgkin's l
ymphoma (Exp=5.07; SIR=1.10; 95% CI=0.4-2.6) and no significantly elev
ated risk of other cancers. Based on small numbers, the study suggests
an association between the exposure to MCPA and related phenoxy herbi
cides and the risk of soft-tissue sarcoma. The study does not indicate
a risk of non-Hodgkin's lymphoma after exposure to these phenoxy herb
icides or a risk of other cancer diseases.