Navigation Links
Do Men Need Colon Cancer Screening Earlier Than Women Do?
Date:9/28/2011

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 SeaColonyTennis.net 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:
*Name:
*Comment:
*Email:
Related Image:
Do Men Need Colon Cancer Screening Earlier Than Women Do?
(Date:6/27/2016)... ... 27, 2016 , ... TopConsumerReviews.com recently awarded their highest five-star rating to Best ... individuals in the United States and Canada wear eyeglasses. Once considered to be a ... and make a fashion statement. Even celebrities use glasses as a way of creating ...
(Date:6/26/2016)... ... ... Kasmer, a legally blind and certified personal trainer is helping to develop a weight loss ... plans to fix the two major problems leading the fitness industry today:, ... , They don’t eliminate all the reasons people quit their exercise program ...
(Date:6/25/2016)... ... 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX users can easily ... of Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 hand-drawn pictures ... . Simply select a ProHand generator and drag it above media or text in ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... Conventional wisdom ... of success. In terms of the latter, setting the bar too high can result ... more than just slow progress toward their goal. , Research from PsychTests.com ...
(Date:6/24/2016)... ... June 24, 2016 , ... The ... in Dallas that it will receive two significant new grants to support its ... PHA marked its 25th anniversary by recognizing patients, medical professionals and scientists for ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Astellas today announced the establishment of Astellas Farma Colombia (AFC), a new affiliate with operations headquartered in ... . ... ... ... Astellas is ...
(Date:6/23/2016)...  Guerbet announced today that it has been named ... . One of 12 suppliers to receive ... support of Premier members through exceptional local customer service ... to lower costs. ... outstanding customer service from Premier," says Massimo Carrara ...
(Date:6/23/2016)... -- Research and Markets has announced the ... (United States, China, Japan, Brazil, United Kingdom, Germany, France, ... Surgical Procedure Volumes: ... provides surgical procedure volume data in a geographic context. ... analysis of growth drivers and inhibitors, including world population ...
Breaking Medicine Technology: