Osias G L, Osias K B, Srinivasan R
Department of Medicine, Section of Gastroenterology, Temple University School of Medicine, Philadelphia, Pa, USA.
J Am Osteopath Assoc. 2001 Dec;101(12 Suppl Pt 2):S7-12.
Colorectal cancer is the second leading cause of cancer-related deaths in developed countries. For women, it is the third leading cause of cancer-related deaths behind lung and breast cancers. Women have the same risk as men, and the lifetime risk of the development of colorectal cancer is 6%. One in 17 woman will have colorectal cancer diagnosed. There are risk factors unique to women, including gynecologic cancers, and treatment of gynecologic cancers, as well as delayed diagnosis in pregnancy. Fortunately, colorectal cancer is a preventable disease, as almost all colorectal cancers arise from premalignant polyps. Colorectal cancer screening is recommended in asymptomatic women aged 50 years and older who are at average risk. Screening and surveillance for colorectal cancer in women are important to improve the morbidity and mortality rates of this preventable disease.
在发达国家,结直肠癌是癌症相关死亡的第二大主要原因。对女性而言,它是仅次于肺癌和乳腺癌的第三大癌症相关死亡原因。女性与男性患结直肠癌的风险相同,一生中患结直肠癌的风险为6%。每17名女性中就有1人会被诊断出患有结直肠癌。女性有一些特有的风险因素,包括妇科癌症、妇科癌症的治疗以及孕期诊断延迟。幸运的是,结直肠癌是一种可预防的疾病,因为几乎所有的结直肠癌都起源于癌前息肉。建议对50岁及以上平均风险的无症状女性进行结直肠癌筛查。对女性进行结直肠癌的筛查和监测对于提高这种可预防疾病的发病率和死亡率至关重要。