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辐射诱发的结肠癌和直肠癌:风险评估

Radiation-induced cancers of the colon and rectum: assessing the risk.

作者信息

Sandler R S, Sandler D P

出版信息

Gastroenterology. 1983 Jan;84(1):51-7.

PMID:6847854
Abstract

Individuals who have received pelvic irradiation are reported to be at increased risk to develop subsequent malignancies in the large bowel. In order to plan appropriate follow-up for these patients, it is necessary to understand the magnitude of their risk. In this paper we review the literature on colorectal cancer after irradiation and estimate the excess risk based upon available data. Women who are irradiated for gynecologic cancer may have a relative risk for subsequent colorectal cancer of 2.0-3.6 based on best estimates. This risk is calculated independent of any risk imposed by underlying disease. These women are appropriate targets for careful surveillance for colorectal cancer.

摘要

据报道,接受盆腔放疗的个体患后续大肠恶性肿瘤的风险会增加。为了为这些患者制定适当的随访计划,有必要了解其风险程度。在本文中,我们回顾了关于放疗后结直肠癌的文献,并根据现有数据估计额外风险。根据最佳估计,因妇科癌症接受放疗的女性患后续结直肠癌的相对风险可能为2.0至3.6。该风险是独立于潜在疾病所带来的任何风险计算得出的。这些女性是结直肠癌仔细监测的合适对象。

相似文献

1
Radiation-induced cancers of the colon and rectum: assessing the risk.辐射诱发的结肠癌和直肠癌:风险评估
Gastroenterology. 1983 Jan;84(1):51-7.
2
[Colorectal carcinoma following radiotherapy of gynecological carcinoma].
Schweiz Med Wochenschr. 1988 May 14;118(19):716-21.
3
Radiation as a risk factor in the natural history of colorectal cancer.
Gastroenterology. 1983 Jan;84(1):186-7.
4
[4 malignant colo-rectal and peritoneal tumors appearing after pelvic irradiation].
Helv Chir Acta. 1978 May;45(1-2):101-4.
5
Association of colorectal cancer and prostate cancer and impact of radiation therapy.结直肠癌与前列腺癌的关联及放射治疗的影响
Cancer Epidemiol Biomarkers Prev. 2009 Jul;18(7):1979-85. doi: 10.1158/1055-9965.EPI-09-0241. Epub 2009 Jun 16.
6
[Two cases of rectal carcinoma that developed as a late complication of pelvic radiotherapy].
Gan No Rinsho. 1990 Dec;36(15):2599-604.
7
Cancer of the colon as a late sequel of pelvic irradiation.
Am J Gastroenterol. 1978 Feb;69(2):196-8.
8
Colorectal cancer after irradiation for cervical cancer--case reports.
Anticancer Res. 1995 Mar-Apr;15(2):557-8.
9
Second cancers following radiotherapy for cervical cancer.宫颈癌放疗后的二次癌症。
J Natl Cancer Inst. 1982 Nov;69(5):1027-33.
10
Prospective study on milk products, calcium and cancers of the colon and rectum.关于乳制品、钙与结肠直肠癌的前瞻性研究。
Eur J Clin Nutr. 2001 Nov;55(11):1000-7. doi: 10.1038/sj.ejcn.1601260.

引用本文的文献

1
Stomach carcinoma presenting with a synchronous liver cancer: a case report and literature review.同时性肝癌伴发的胃癌:一例报告及文献复习
Case Rep Gastrointest Med. 2014;2014:970293. doi: 10.1155/2014/970293. Epub 2014 Sep 22.
2
Is diabetes mellitus an independent risk factor for colon cancer and rectal cancer?糖尿病是结肠癌和直肠癌的独立危险因素吗?
Am J Gastroenterol. 2011 Nov;106(11):1911-21; quiz 1922. doi: 10.1038/ajg.2011.301. Epub 2011 Sep 13.
3
Risk factors for advanced sporadic colorectal neoplasia in persons younger than age 50.
50岁以下人群晚期散发性结直肠肿瘤的危险因素
Cancer Detect Prev. 2008;32(1):33-8. doi: 10.1016/j.cdp.2008.01.003. Epub 2008 Apr 8.
4
Clinical analysis of multiple primary malignancies in the digestive system: a hospital-based study.消化系统多原发性恶性肿瘤的临床分析:一项基于医院的研究。
World J Gastroenterol. 2005 Jul 21;11(27):4215-9. doi: 10.3748/wjg.v11.i27.4215.
5
Ingestion of sugar beet fiber enhances irradiation-induced aberrant crypt foci in the rat colon under an apoptosis-suppressed condition.在细胞凋亡受到抑制的情况下,摄入甜菜纤维会增加大鼠结肠中辐射诱导的异常隐窝病灶。
Carcinogenesis. 1999 Jun;20(6):1005-9. doi: 10.1093/carcin/20.6.1005.
6
The radiation-damaged rectum: resection with coloanal anastomosis using the endoanal technique.放射性损伤的直肠:采用经肛门技术行结肠肛管吻合术切除
World J Surg. 1986 Apr;10(2):220-7. doi: 10.1007/BF01658138.
7
Pathologic changes secondary to radiation.辐射继发的病理变化
World J Surg. 1986 Apr;10(2):155-70. doi: 10.1007/BF01658133.
8
Proliferative instability and experimental carcinogenesis at colonic anastomoses.结肠吻合口处的增殖不稳定性与实验性致癌作用
Gut. 1987 Jul;28(7):808-15. doi: 10.1136/gut.28.7.808.
9
Synchronous small and large bowel cancer developing after pelvic irradiation.盆腔放疗后发生的同步性小肠和大肠癌。
Gut. 1988 Jan;29(1):126-8. doi: 10.1136/gut.29.1.126.
10
Late cytokinetic abnormalities in irradiated rectal mucosa.
Int J Colorectal Dis. 1990 May;5(2):98-102. doi: 10.1007/BF00298479.