Navigation Links
Do Men Need Colon Cancer Screening Earlier Than Women Do?

By Serena Gordon
HealthDay Reporter

TUESDAY, Sept. 27 (HealthDay News) -- Men may need to begin colon cancer screening earlier than women, new research suggests.

The study found that men were far more likely to have potentially precancerous lesions (also called polyps or adenomas) in their colon -- 24.9 percent of men compared to 14.8 percent of women -- and to have them at an earlier age.

"In our study, analysis of age- and sex-specific prevalence of adenomas, advanced adenomas and colorectal cancers indicates a significantly higher rate of these lesions among men compared with women in all age groups, suggesting that male sex constitutes an independent risk factor for colorectal carcinoma and their precursor lesions, and indicating new sex-specific age recommendations for screening colonoscopy," said study author Dr. Monika Ferlitsch, an associate professor of medicine at the Medical University of Vienna in Austria.

But, at least one U.S. expert says that screening guidelines don't need to be changed based on these findings alone.

"This is a very interesting, very well-done study that included a lot of people. But, I have a lot of concerns about making changes to currently accepted screening guidelines that are well thought-out," said Dr. David Bernstein, chief of the division of gastroenterology at North Shore University Hospital in Manhasset, N.Y.

"There were very few people under 50 in this study, and all of those were referred because they have a high risk of colon cancer," noted Bernstein, who said all of these people would have been referred for screening in the United States because of their higher risk anyway. He added that while the issue might warrant further investigation, he doesn't see any need to make gender-based screening recommendations for colorectal cancer.

Results of the study are published in the Sept. 28 issue of the Journal of the American Medical Association.

Current colorectal cancer screening guidelines recommend that both men and women begin colonoscopy screening at age 50, according to background information in the study. People who have a higher risk of developing colorectal cancer are advised to begin screening earlier. How early depends on their particular risk factors, said Bernstein.

Ferlitsch and her colleagues began the study because other research had shown that men were at greater risk of having advanced colorectal cancers than women, and they wondered if earlier screening might catch some of these cancers at an earlier, more treatable -- or even preventable -- stage.

Their study included 44,350 Austrians who participated in a national colonoscopy screening program. The average age of the study participants was 60.7 years for men and 60.6 years for women. Just over 1,600 of the study participants were under 50, according to the study.

Overall, the researchers found polyps in 34.4 percent of those screened. They also found colon cancer in 0.4 percent and rectal cancer in 0.2 percent. When polyps are found in a colonoscopy, they can be removed before they have a chance to develop into cancer. Most polyps are adenomas, which are considered precancerous.

Nearly one-quarter of men had polyps compared to 14.8 percent of the women. Almost 19 percent of men between the ages of 50 and 54 had polyps. In women of the same age, just 11 percent had polyps. However, a similar number of older women -- those between 65 and 69 years -- had about the same rate of polyps as the younger men, the study found.

"It is worth it to get screening colonoscopy early enough -- if you are 50 years old if you are a woman, and if it's possible, if you are 45 years old if you are a man -- since 35 percent of healthy, asymptomatic individuals have polyps and 20 percent of all those have adenomas, which are really easy to remove before they develop into colorectal cancer," said Ferlitsch.

"Colorectal cancer is a silent disease. But, we can find it early and prevent it with adequate screening," said Bernstein.

More information

Learn more about colon cancer screening from the U.S. Centers for Disease Control and Prevention.

SOURCES: Monika Ferlitsch, M.D., associate professor, medicine, Medical University of Vienna, Austria; David Bernstein, M.D., chief, division of gastroenterology, North Shore University Hospital, Manhasset, N.Y.; Sept. 28, 2011, Journal of the American Medical Association

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Racial disparities persist in the diagnosis of advanced breast cancer and colon cancer in the U.S.
2. New Launches to Promote World-Class Tennis Programs at Sea Colony
3. President Obama Gets Virtual Colonoscopy (CT Colonography) But Medicare Denies CTC Coverage to Seniors
4. Proteins May Predict Spread of Colon Cancer
5. Obese Colon Cancer Survivors Face Poorer Prognosis
6. Obesity linked to poor colon cancer prognosis
7. Study evaluates costs and benefits associated with new colon cancer therapies
8. Older Colon Cancer Patients Less Likely to Get Chemo
9. Colonoscopy Not Needed for Most With Irritable Bowel Syndrome
10. Studies examine Third Eye Retroscope during colonoscopy
11. Virtual colonoscopy allows detection of unsuspected cancers beyond colon
Post Your Comments:
Related Image:
Do Men Need Colon Cancer Screening Earlier Than Women Do?
(Date:11/24/2015)... Dallas, Texas (PRWEB) , ... November 24, 2015 , ... ... of all charitable donations are made in the last five weeks of the year ... #GivingTuesday was created in 2012 to connect the nation’s charities with those individuals who ...
(Date:11/24/2015)... ... November 24, 2015 , ... In an article ... and variables that determine which patients are or are not eligible for bariatric surgery. ... a BMI over 40, are more than 100 pounds overweight, or have a BMI ...
(Date:11/24/2015)... (PRWEB) , ... November 24, 2015 , ... DMG Productions ... Ed Begley Jr., airing first quarter 2016 via Discovery Channel. Dates and show times ... the Province, and is in the business of producing and supplying medical marijuana pursuant ...
(Date:11/24/2015)... Church, VA (PRWEB) , ... November 24, 2015 , ... ... — 1:30 p.m. – 3:00 p.m. EST, , FDA has long ... regulations. CLIA regulations apply to performing the tests and do not meet the device ...
(Date:11/24/2015)... ... November 24, 2015 , ... The Trustees, ... paid entry and parking fees at several of their most popular properties, including ... Barrington in support of REI’s Black Friday #OptOutside Campaign. The Trustees encourage families ...
Breaking Medicine News(10 mins):
(Date:11/24/2015)... 2015  Array BioPharma Inc. (Nasdaq: ARRY ... Ron Squarer , will present at the ... The public is welcome to participate in the ... website.Event:Piper Jaffray Annual Healthcare ConferencePresenter:  , Ron Squarer, ... p.m. Eastern Time Webcast: , ...
(Date:11/24/2015)... Nueva York , 24 de noviembre de ... del Avery Breathing Pacemaker System, se complace anunciar ... Ph.D. como consultor clínico. ... Foto -   ... Jonzon es un fisiólogo y consultor en neonatología ...
(Date:11/24/2015)... , November 24, 2015 --> ... report "Spine Biologics Market by Product Type (Bone Graft, Bine ... Discectomy and Fusion, Posterior Lumbar Interbody Fusion), End User, and ... global market was valued at $1.90 Billion in 2014 and ... CAGR of 4.4% during the forecast period of 2015 to ...
Breaking Medicine Technology: