public were documented as early as 1168 in the ore mountains (Erzgebirge) o
f Saxony. Silver, bismuth, cobalt, nickel and tungsten were mined from then
up to the end of the 19th century. After the Second World War, the Soviet
Occupation Authorities reopened the old silver mines in Saxony to mine uran
ium for the Soviet nuclear industry. About 400,000 workers produced a total
of 220,000 tons of uranium during the years 1946 to 1990. After the reunif
ication of Germany, the archive of the Institute of Pathology of the mining
area was opened for research. It contains protocols of 28,975 autopsy case
s and about 400,000 slides collected from 1957 to 1992, about 66,000 tissue
blacks, and 238 whole lungs. From the autopsy cases, 17,466 could be ident
ified as workers of the uranium mining company. The remainder of the cases
were in the population of the mining area. A comparison of the frequencies
of malignancies of male workers older than 15 years with those of the popul
ation of the mining area for the years 1957 to 1989 demonstrates a signific
antly higher percentage of lung cancer among the uranium miners. There was
no significant difference for other solid cancers and leukemias. (C) 1999 b
y Radiation Research Society.