Inflammatory bowel disease and colorectal cancer

<p><strong>Background:</strong> Colorectal cancer is one of the most frequent cancers in developed countries and Slovenia, and the incidence is still rising. Groups of people with higher risk for colorectal cancer are well defined. Among them are patients with inflammatory bowel di...

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Main Authors: Andreja Ocepek, Pavel Skok
Format: Article
Language:English
Published: Slovenian Medical Association 2006-12-01
Series:Zdravniški Vestnik
Subjects:
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/2080
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author Andreja Ocepek
Pavel Skok
author_facet Andreja Ocepek
Pavel Skok
author_sort Andreja Ocepek
collection DOAJ
description <p><strong>Background:</strong> Colorectal cancer is one of the most frequent cancers in developed countries and Slovenia, and the incidence is still rising. Groups of people with higher risk for colorectal cancer are well defined. Among them are patients with inflammatory bowel disease. The risk is highest in patients in whom whole large bowel is affected by inflammation, it rises after 8 to 10 years and increases with the duration of the disease. Precancerous lesion is a displastic, chronically inflammed mucosa and not an adenoma as in cases of sporadic colorectal carcinoma.</p><p><strong>Conclusions:</strong> Many studies suggest that the influence of genetic factors differs between sporadic and inflammatory bowel disease related colorectal cancer. Symptomatic patients at the time of diagnosis have a much worse prognosis. The goal of prevention programes is therefore discovering early precancerous lesions. Established screening protocols are based on relatively frequent colonoscopies which are inconvinient for the patient as well as the endoscopist. Use of specific genetic markers, mutations of candidate genes, as a screening method and a prognostic predictor could greatly lighten therapeutic decisions.</p>
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spelling doaj.art-088e7ea123cc44f9884fcb51f98da7aa2022-12-21T17:33:48ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242006-12-017501576Inflammatory bowel disease and colorectal cancerAndreja OcepekPavel Skok<p><strong>Background:</strong> Colorectal cancer is one of the most frequent cancers in developed countries and Slovenia, and the incidence is still rising. Groups of people with higher risk for colorectal cancer are well defined. Among them are patients with inflammatory bowel disease. The risk is highest in patients in whom whole large bowel is affected by inflammation, it rises after 8 to 10 years and increases with the duration of the disease. Precancerous lesion is a displastic, chronically inflammed mucosa and not an adenoma as in cases of sporadic colorectal carcinoma.</p><p><strong>Conclusions:</strong> Many studies suggest that the influence of genetic factors differs between sporadic and inflammatory bowel disease related colorectal cancer. Symptomatic patients at the time of diagnosis have a much worse prognosis. The goal of prevention programes is therefore discovering early precancerous lesions. Established screening protocols are based on relatively frequent colonoscopies which are inconvinient for the patient as well as the endoscopist. Use of specific genetic markers, mutations of candidate genes, as a screening method and a prognostic predictor could greatly lighten therapeutic decisions.</p>http://vestnik.szd.si/index.php/ZdravVest/article/view/2080inflammatory bowel diseaseCrohn’s diseaseulcerative colitiscolorectal cancergenetic markers
spellingShingle Andreja Ocepek
Pavel Skok
Inflammatory bowel disease and colorectal cancer
Zdravniški Vestnik
inflammatory bowel disease
Crohn’s disease
ulcerative colitis
colorectal cancer
genetic markers
title Inflammatory bowel disease and colorectal cancer
title_full Inflammatory bowel disease and colorectal cancer
title_fullStr Inflammatory bowel disease and colorectal cancer
title_full_unstemmed Inflammatory bowel disease and colorectal cancer
title_short Inflammatory bowel disease and colorectal cancer
title_sort inflammatory bowel disease and colorectal cancer
topic inflammatory bowel disease
Crohn’s disease
ulcerative colitis
colorectal cancer
genetic markers
url http://vestnik.szd.si/index.php/ZdravVest/article/view/2080
work_keys_str_mv AT andrejaocepek inflammatoryboweldiseaseandcolorectalcancer
AT pavelskok inflammatoryboweldiseaseandcolorectalcancer