Is Gynecological Cancer a New Indication for Surveillance Colonoscopy in Korea?

Title
Is Gynecological Cancer a New Indication for Surveillance Colonoscopy in Korea?
Author(s)
장병익Chang je ho[Chang je ho]Choi hyo sun[Choi hyo sun]Choi joong sub[Choi joong sub]Park dong il[Park dong il]Seo hyun il[Seo hyun il]Yang moon hee[Yang moon hee]Sohn hee jung[Sohn hee jung]Lee sun young[Lee sun young]Jin youn tae[Jin youn tae]Ji jung sun[Ji jung sun]Shin jung eun[Shin jung eun]Eun chang soo[Eun chang soo]Back il hyun[Back il hyun]
Keywords
2ND PRIMARY MALIGNANCIES; COLORECTAL-CANCER; OVARIAN-CANCER; RISK; WOMEN
Issue Date
201205
Publisher
H G E UPDATE MEDICAL PUBLISHING S A
Citation
HEPATO-GASTROENTEROLOGY, v.59, no.115, pp.727 - 730
Abstract
Background/Aims: Previous studies regarding the risk for colorectal neoplasms in women with a prior diagnosis of gynecological cancer have revealed conflicting results. Therefore, we conducted a cross-sectional study to quantify the risk for colorectal neoplasms in patients with gynecological cancers. Methodology: A total of 4613 women (including 27,51 and 92 women with a prior diagnosis of endometrial, ovarian and cervical cancers, respectively) >20 years of age were recruited prospectively from 9 tertiary medical centers in Korea between January 2008 and February 2009. All participants underwent complete colonoscopies for vague abdominal signs or symptoms or for colorectal cancer screening. Several risk factors for colorectal neoplasms and a prior history of gynecological cancer were compared between women with and without colorectal neoplasms. Results: The risk for colorectal neoplasms was only elevated among women with previous endometrial cancer, but with ovarian or cervical cancer, particularly when diagnosed at <50 years of age (adjusted OR=3.7; 95% CI=1.0-13.3, p=0.016). Conclusions: This study demonstrated a higher risk for colorectal neoplasms in women with previous endometrial cancer, particularly when diagnosed at <50 years of age. Greater emphasis on colorectal cancer screening in this population may be necessary.
URI
http://hdl.handle.net/YU.REPOSITORY/28278http://dx.doi.org/10.5754/hge10544
ISSN
0172-6390
Appears in Collections:
의과대학 > 내과학교실 > Articles
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE