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The risk of gastrointestinal malignancies in cystic fibrosis
- Source :
- Journal of Cystic Fibrosis. 7:1-6
- Publication Year :
- 2008
- Publisher :
- Elsevier BV, 2008.
-
Abstract
- The life expectancy for cystic fibrosis (CF) patients has increased dramatically over the last 30 years. Although the overall cancer risk for CF patients does not appear to be increased there is a marked increased risk of gastrointestinal malignancies especially in the post lung transplant population. CF patients that do develop gastrointestinal malignancies do so at an earlier age and there is often a lag in the diagnosis and management of these individuals. We present a 39 year old male CF patient that underwent a colonoscopy for colon cancer screening and a large, near obstructing, villous adenoma of his ileum was found. The polyp was removed successfully via endoscopy without incident and there was no evidence of malignancy. An upper endoscopy revealed a long segment of Barrett's esophagus with no evidence of dysplasia. We present this case as well as a detailed review of the literature on cancer risk in CF and a discussion of the mechanisms that may be involved. We also present the risk of GI malignancies in non-CF patients as a guide on how to assess and manage the risk of GI malignancies in this ever-changing patient population.
- Subjects :
- Pulmonary and Respiratory Medicine
Villous adenoma
medicine.medical_specialty
education.field_of_study
medicine.diagnostic_test
Colorectal cancer
business.industry
Population
Colonoscopy
Esophageal cancer
medicine.disease
Malignancy
Gastroenterology
Dysplasia
Internal medicine
Barrett's esophagus
Pediatrics, Perinatology and Child Health
medicine
Pediatrics, Perinatology, and Child Health
education
business
Subjects
Details
- ISSN :
- 15691993
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- Journal of Cystic Fibrosis
- Accession number :
- edsair.doi.dedup.....b82e02ef567e68eb98a61ef54a00b049