Colorectal Cancer Risk and Recommendations for Colorectal Cancer Surveillance in Adult Survivors of Childhood Cancer

被引:1
|
作者
Shen, Katie [1 ,6 ]
Farha, Natalie [2 ]
Rotz, Seth [4 ]
Balagamwala, Ehsan H. [3 ]
Macaron, Carole [2 ]
Mankaney, Gautam M. [5 ]
Burke, Carol A. [2 ]
机构
[1] Cleveland Clin, Dept Internal Med, Cleveland, OH USA
[2] Cleveland Clin, Digest Dis Inst, Dept Gastroenterol & Hepatol, Cleveland, OH USA
[3] Cleveland Clin, Taussig Canc Ctr, Dept Radiat Oncol, Cleveland, OH USA
[4] Cleveland Clin, Dept Pediat Hematol Oncol & Blood & Marrow Transpl, Childrens Hosp, Cleveland, OH USA
[5] Dept Gastroenterol & Hepatol, Virginia Mason Franciscan Hlth, Seattle, WA USA
[6] 9500 Euclid Ave, Cleveland, OH 44195 USA
关键词
Adult survivors of childhood cancer; colorectal neoplasia; colorectal carcinoma; 2ND MALIGNANT NEOPLASMS; THERAPY-ASSOCIATED POLYPOSIS; SUBSEQUENT NEOPLASMS; 5-YEAR SURVIVORS; OBESITY; LIFE;
D O I
10.1097/MCG.0000000000001831
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
While many organizations have published guidance on the approach to colorectal cancer (CRC) screening in average-risk and certain high-risk groups, adult survivors of childhood cancer (ASCC) who have a heightened risk of CRC are rarely included as a target group for enhanced CRC surveillance. The population of ASCC continues to grow due to increasingly effective cancer therapies and improved survival. With this increased survival comes an increased risk for subsequent malignant neoplasms, including CRC. Since there is little published guidance for CRC surveillance in ASCC and limited awareness of increased CRC risk among both physicians and patients, the objectives of our paper are to review the incidence of and risk factors for colorectal neoplasia in ASCC, describe the clinical phenotypes of colorectal neoplasia in ASCC, review published surveillance strategies based on consensus-based survivorship guidelines, and outline areas for future research to optimize surveillance strategies.
引用
收藏
页码:431 / 439
页数:9
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