2010
DOI: 10.1158/1078-0432.ccr-09-1877
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Smoking and Colorectal Cancer in Lynch Syndrome: Results from the Colon Cancer Family Registry and The University of Texas M.D. Anderson Cancer Center

Abstract: Purpose: Lynch syndrome family members with inherited germline mutations in DNA mismatch repair (MMR) genes have a high risk of colorectal cancer (CRC), and cases typically have tumors that exhibit a high level of microsatellite instability (MSI). There is some evidence that smoking is a risk factor for CRCs with high MSI; however, the association of smoking with CRC among those with Lynch syndrome is unknown.Experimental Design: A multicentered retrospective cohort of 752 carriers of pathogenic MMR gene mutat… Show more

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Cited by 63 publications
(41 citation statements)
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“…We have shown that body mass index in early adulthood is similarly associated with CRC risk for both carriers and noncarriers (93). Studies of alcohol consumption (94), fruit consumption (95), dietary fiber intake (95), smoking (95,96) have not directly compared strengths of associations for carriers with noncarriers.…”
Section: Environmental Factorsmentioning
confidence: 99%
“…We have shown that body mass index in early adulthood is similarly associated with CRC risk for both carriers and noncarriers (93). Studies of alcohol consumption (94), fruit consumption (95), dietary fiber intake (95), smoking (95,96) have not directly compared strengths of associations for carriers with noncarriers.…”
Section: Environmental Factorsmentioning
confidence: 99%
“…The lifetime probability of developing colorectal cancer is estimated to be 54% to 74% for men and 30% to 52% for women with Lynch syndrome, compared to 5% to 6% for the general population (8,9,10). Various health behaviours have been demonstrated to reduce the risk of hereditary colorectal cancer in Lynch syndrome families, such as colonoscopy use (11,12), smoking (13,14), and other lifestyle behaviours, including diet (15). Based on data availability, this study focused on colonoscopy and smoking behaviours.…”
Section: Introductionmentioning
confidence: 99%
“…The prevalence of LS may differ among ethnicities, races and countries because of a lack of sufficient data and may be influenced by selection biases in studies or by the age distribution of the study cohort. In addition, a lifetime risk of developing CRC among carriers of the mutations may be influenced by environmental factors and the lifestyles (14)(15)(16)(17). Under these circumstances, there have been no credible data on the prevalence of LS among CRC patients in Japan, which represents one of the most rapidly aging societies in the world, and where CRC was estimated in 2015 as being the most frequently occurring of all malignant tumors and also as being the first and second leading causes of death in women and men, respectively (18).…”
Section: Introductionmentioning
confidence: 99%