2019
DOI: 10.1007/s10151-019-1926-2
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Colorectal cancer in inflammatory bowel disease: review of the evidence

Abstract: Inflammatory bowel disease (IBD)-related colorectal cancer (CRC) is responsible for approximately 2% of the annual mortality from CRC overall, but 10%-15% of the annual deaths in IBD patients. IBD-related CRC patients are also affected at a younger age than sporadic CRC, and have a 5-year survival rate of 50%. Despite optimal medical treatment, the chronic inflammatory state inherent in IBD increases the risk for highgrade dysplasia and CRC, with additional input from genetic and environmental risk factors and… Show more

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Cited by 185 publications
(138 citation statements)
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References 98 publications
(103 reference statements)
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“…However, many different conditions, including rheumatoid arthritis, have been inconsistently associated with breast cancer risk and do not support a strong association between chronic inflammatory conditions and breast cancer risk. The inconsistent evidence between medical conditions related to inflammation and breast cancer risk contrasts with other cancers, such as colorectal cancer, which have a much more consistent relationship with several chronic inflammatory [48]. The inconsistent evidence for breast cancer may be due to the timing of when inflammatory conditions were measured with respect to different windows of susceptibility for breast cancer.…”
Section: Medical Conditions Related To Chronic Inflammation and Breasmentioning
confidence: 97%
“…However, many different conditions, including rheumatoid arthritis, have been inconsistently associated with breast cancer risk and do not support a strong association between chronic inflammatory conditions and breast cancer risk. The inconsistent evidence between medical conditions related to inflammation and breast cancer risk contrasts with other cancers, such as colorectal cancer, which have a much more consistent relationship with several chronic inflammatory [48]. The inconsistent evidence for breast cancer may be due to the timing of when inflammatory conditions were measured with respect to different windows of susceptibility for breast cancer.…”
Section: Medical Conditions Related To Chronic Inflammation and Breasmentioning
confidence: 97%
“…They affect millions of people worldwide with increasing incidence ( Kaplan and Ng, 2017 ; Ng et al, 2018 ). IBDs result from the interaction between environmental, genetic, and epigenetic risk factors causing an excessive immune response in the mucosa leading to uncontrolled inflammation, and represent, in turn, a risk factor for the development of colorectal cancer ( Keller et al, 2019 ). Recent evidence suggests that the imbalance of the gut microbiota ecosystem, also known as gut dysbiosis, is linked to the initiation and progression of IBDs ( De Musis et al, 2020 ).…”
Section: Introductionmentioning
confidence: 99%
“…The etiologies for UC are unclear, however, UC development and acute UC exacerbation have been associated with both physical and mental stress (9)(10)(11). Colorectal epithelium in UC patients with long disease duration has an increased risk of developing CRC, and IBDrelated CRC is responsible for 10-15% of the annual deaths in IBD patients (12). It is therefore of high importance to detect malignancy from UC at an earlier stage of the disease (13)(14)(15).…”
mentioning
confidence: 99%