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Patients with
colorectal carcinoid tumors have an increased risk of developing
other malignancies, according to researchers at Jefferson Medical
College in Philadelphia.
Researchers
developed a comprehensive evaluation to assess the risk of second
cancers in patients with colorectal carcinoids using a search
of the National Cancer Institute Surveillance, Epidemiology, and
End Result database from 1973 to 1996. They found 2,086 patients
with colorectal carcinoids who were then examined for occurrence
of second cancers.
Patients with
colorectal carcinoids had an increased rate of cancer in the colon
and rectum, small bowel, esophagus/stomach, lung/bronchus, urinary
tract, and prostate, when compared with a control group, according
to their report in the journal Diseases of the Colon and Rectum.
Researchers
concluded, "A significantly increased risk of synchronous
colorectal, small-bowel, gastric, and esophageal cancers and metachronous
lung, prostate, and urinary tract neoplasms is clearly demonstrated."
"After
the diagnosis of colorectal carcinoid tumors, patients should
undergo appropriate screening and surveillance for cancer at these
sites," recommended the researchers.
Other
Sources: Diseases of the Colon and Rectum
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