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Gastrointestinal cancer

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741: 132: 201: 785:. High exposure of the gastrointestinal tract to bile acids can occur in several different settings, but most significantly is prevalent among individuals who have a high dietary fat intake. High bile acid exposure has been implicated in several cancers of both the upper and lower digestive tract. The deleterious effects on cells of elevated bile acid exposure include induction of 467: 140:
extends from northeastern China through central Asia to northern Iran. Ethiopia also has a notably high incidence. There are two main types of esophageal cancer—adenocarcinoma and squamous cell carcinoma. Worldwide, the incidence of each type is about the same, but in developed countries like North America and Europe adenocarcinoma is the more common.
170:, also called gastric cancer, is the fourth-most-common type of cancer and the second-highest cause of cancer death globally. Eastern Asia (China, Japan, Korea, Mongolia) is a high-risk area for gastric cancer, and North America, Australia, New Zealand and western and northern Africa are areas with low risk. The most common type of gastric cancer is 99:, including the esophagus, stomach, biliary system, pancreas, small intestine, large intestine, rectum and anus. The symptoms relate to the organ affected and can include obstruction (leading to difficulty swallowing or defecating), abnormal bleeding or other associated problems. The diagnosis often requires 240:
Pancreatic cancer is the fifth most-common cause of cancer-related deaths in the United States, and the seventh most-common in Europe. In 2008, globally there were 280,000 new cases of pancreatic cancer reported and 265,000 deaths. These cancers are classified as endocrine or nonendocrine tumors. The
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of 90% or above. By the time esophageal cancer is usually detected, though, it might have spread beyond the esophageal wall, and the survival rate drops significantly. In China, the overall five-year survival rate for advanced esophageal cancer is about 20%, and in the United States it is about 15%.
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Longitudinally opened freshly resected colon segment showing a cancer and four polyps. Plus a schematic diagram indicating a likely field defect (a region of tissue that precedes and predisposes to the development of cancer) in this colon segment. The diagram indicates sub-clones and sub-sub-clones
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Esophageal cancer is the sixth-most-common cancer in the world, and its incidence is increasing. Some three to five males are affected for each female. An "esophageal cancer belt", in which the incidence of esophageal squamous cell carcinoma (SCC) is more than a hundred times that of adjacent areas,
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tumors. As shown by Hofstad et al., when polyps are allowed to remain in the colon and are observed for three years, about 40% of polyps are seen to grow larger, likely progressing towards cancer. Luo et al. summarized the substantial body of evidence that field cancerization occurs in the colon,
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is a rare, slow-growing form of cancer that affects certain cells in the lining of the stomach and intestines. The cells it affects make hormones that regulate the production of digestive juices and muscles that move food through the stomach and intestines. This kind of cancer usually occurs in the
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Overall, the GI tract and the accessory organs of digestion (pancreas, liver, gall bladder) are responsible for more cancers and more deaths from cancer than any other system in the body. There is significant geographic variation in the rates of different gastrointestinal cancers.
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Gurusamy, Kurinchi Selvan; Allen, Victoria B; Kalia, Amun; Davidson, Brian R; Gurusamy, Kurinchi Selvan (2011). "Diagnostic accuracy of laparoscopy for assessing the resectability in pancreatic and periampullary cancer". In Gurusamy, Kurinchi Selvan (ed.).
732:), non-tumor tissue adjacent to a gastric cancer, and gastric cancer tissue. Greater than five-fold reductions were found in four miRNAs in tumor-adjacent tissues and gastric cancers as compared to those miRNA levels in normal gastric tissues. 1620:
Scherübl H, Steinberg J, Schwertner C, Mir-Salim P, Stölzel U, de Villiers EM (June 2008). "'Field cancerization' im oberen Aerodigestivtrakt" [Coincidental squamous cell cancers of the esophagus, head, and neck: risk and screening].
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of less than 5%. By the time the cancer is diagnosed, it is usually at an advanced, inoperable stage. Only one in about fifteen to twenty patients is curative surgery attempted. Pancreatic cancer tends to be aggressive, and it resists
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Gurusamy, Kurinchi Selvan; Kumar, Senthil; Davidson, Brian R; Fusai, Giuseppe; Gurusamy, Kurinchi Selvan (2012). "Resection versus other treatments for locally advanced pancreatic cancer". In Gurusamy, Kurinchi Selvan (ed.).
650:" is a region of tissue that precedes and predisposes to the development of cancer. Field defects occur in progression to gastrointestinal tract cancers. These field defects may contain visible gross manifestations, 107:
of suspicious tissue. The treatment depends on the location of the tumor, as well as the type of cancer cell and whether it has invaded other tissues or spread elsewhere. These factors also determine the prognosis.
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or other conditions may also be involved in their development. Early pancreatic cancer does not tend to result in any symptoms, but when a tumor is advanced, a patient may experience severe pain in the upper
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becomes skin). Anal cancers located above this line (towards the head) are more likely to be carcinomas, whilst those located below (towards the feet) are more likely to be squamous cell carcinomas that may
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in the short term and selection for apoptosis resistance over the long term. High levels of bile acids also alter the microbiome and act as signaling molecules, altering the microenvironment of the colon.
724:: these lesions represent the cancerization field in which (intestinal-type) gastric cancers develop. In one study, the field defect was clearly demonstrated in gastric carcinogenesis using 638:
appendix, small intestine, or rectum. Its presence is associated with an increased risk of cancers affecting the other parts of the digestive system. It is usually treated with surgery.
2074: 405:, and the presence of polyps within the gallbladder. Gallbladder cancer may manifest with weight loss, jaundice, and pain in the upper right of. It is typically diagnosed with 1732:
Assumpção MB, Moreira FC, Hamoy IG, Magalhães L, Vidal A, Pereira A, Burbano R, Khayat A, Silva A, Santos S, Demachki S, Ribeiro-Dos-Santos Â, Assumpção P (2015).
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Wagner, Anna Dorothea; Syn, Nicholas LX; Moehler, Markus; Grothe, Wilfried; Yong, Wei Peng; Tai, Bee-Choo; Ho, Jingshan; Unverzagt, Susanne (2017-08-29).
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Rugge M, Capelle LG, Cappellesso R, Nitti D, Kuipers EJ (2013). "Precancerous lesions in the stomach: from biology to clinical patient management".
174:, which causes about 750,000 deaths each year. Important factors that may contribute to the development of gastric cancer include diet, smoking and 2555: 147:
is often detected late inasmuch as there are typically no early symptoms. Nevertheless, if the cancer is caught soon enough, patients can have a
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O'Connor, A; McNamara, D; O'Moráin, CA (Sep 23, 2013). "Surveillance of gastric intestinal metaplasia for the prevention of gastric cancer".
837: 486:, and risk factors include diets low in vegetable fibre and high in fat. If a younger person gets such a cancer, it is often associated with 393:
Cancers of the gallbladder are typically adenocarcinomas, and are common in elderly women. Gallbladder cancer is strongly associated with
2604: 2560: 2060: 1658:"Revisit of field cancerization in squamous cell carcinoma of upper aerodigestive tract: better risk assessment with epigenetic markers" 868:
Bjelakovic, G; Nikolova, D; Simonetti, RG; Gluud, C (Jul 16, 2008). "Antioxidant supplements for preventing gastrointestinal cancers".
625:, or with external beam radiotherapy and adjunctive chemotherapy. The five-year survival rate with the latter procedure is above 70%. 241:
most common is ductal adenocarcinoma. The most significant risk factors for pancreatic cancer are advanced age (over 60) and smoking.
206: 217: 2167: 426: 899: 2625: 2463: 1988: 790: 634: 592: 1656:
Lee YC, Wang HP, Wang CP, Ko JY, Lee JM, Chiu HM, Lin JT, Yamashita S, Oka D, Watanabe N, Matsuda Y, Ushijima T, Wu MS (2011).
221: 219: 2565: 2368: 2325: 2296: 499: 432: 213: 2276: 220: 207: 222: 204: 96: 2594: 2268: 2181: 2091: 1734:"High-Throughput miRNA Sequencing Reveals a Field Effect in Gastric Cancer and Suggests an Epigenetic Network Mechanism" 92: 227: 2534: 2310: 2286: 1414: 131: 2272: 669:, a red patch of tissue in the generally pink lower esophagus. A diagnosis of Barrett's esophagus is confirmed by a 2550: 2291: 2145: 491: 205: 1577:
Priante AV, Castilho EC, Kowalski LP (April 2011). "Second primary tumors in patients with head and neck cancer".
2458: 2387: 2083: 757:, is removed, the area adjacent to the cancer (and removed with it) may show additional neoplasia in the form of 410: 930:
Yang, S; Wu, S; Huang, Y; Shao, Y; Chen, XY; Xian, L; Zheng, J; Wen, Y; Chen, X; Li, H; Yang, C (Dec 12, 2012).
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exposure). A field defect associated with progression towards squamous cell carcinoma can be identified with
2599: 2348: 2117: 786: 266: 148: 210: 208: 192:. Chemotherapy improves survival compared to best supportive care, however the optimal regimen is unclear. 2440: 2228: 2190: 2100: 1783:"Growth of colorectal polyps: redetection and evaluation of unresected polyps for a period of three years" 666: 73: 1538:"Role of epigenetic alterations in the pathogenesis of Barrett's esophagus and esophageal adenocarcinoma" 223: 721: 398: 211: 2300: 1067: 224: 2445: 693: 519: 212: 761:(see image). This is visual evidence of a field defect. Some of these polyps may be premalignant 697: 647: 329: 180: 1536:
Agarwal A, Polineni R, Hussein Z, Vigoda I, Bhagat TD, Bhattacharyya S, Maitra A, Verma A (2012).
216: 209: 2505: 2487: 2427: 2256: 2252: 1602: 717: 651: 610:, or may be felt as a palpable mass, although it may occasionally present as an ulcerative form. 588: 443: 388: 364: 185: 175: 56: 214: 2572: 2524: 2515: 2238: 2140: 2109: 1964: 1915: 1861: 1812: 1763: 1714: 1679: 1638: 1594: 1559: 1518: 1467: 1396: 1386: 1358: 1335: 1325: 1295: 1285: 1208: 1154: 1100: 1048: 1010: 961: 881: 843: 833: 754: 511: 471: 461: 348: 235: 218: 189: 126: 41: 226: 2373: 2247: 2162: 2150: 1954: 1946: 1905: 1895: 1851: 1843: 1802: 1794: 1753: 1745: 1706: 1669: 1630: 1586: 1549: 1508: 1498: 1457: 1449: 1324:. Illustrated by Robert Britton (21st ed.). Edinburgh: Churchill Livingstone/Elsevier. 1259: 1235: 1198: 1190: 1144: 1136: 1090: 1082: 1040: 1000: 992: 951: 943: 873: 758: 515: 503: 376: 215: 46: 728:
high throughput data from normal gastric mucosa (from patients who had never had a gastric
178:, genetic aspects (including a number of heritable syndromes) and infections (for example, 2215: 2198: 2004: 1992: 1935:"Bile acids as carcinogens in the colon and at other sites in the gastrointestinal system" 750: 607: 575: 526: 17: 956: 931: 2529: 2492: 2422: 2320: 2260: 2203: 2132: 2122: 1959: 1934: 1910: 1883: 1856: 1831: 1807: 1782: 1758: 1733: 1554: 1537: 1513: 1486: 1462: 1437: 1203: 1178: 1149: 1124: 1095: 1005: 980: 682: 662: 567: 483: 171: 161: 900:"Death and DALY estimates for 2004 by cause for WHO Member States (Persons, all ages)" 2619: 2473: 2155: 1985: 1606: 689: 545: 422: 328:). A person may feel an enlarging mass, or the cancer might be revealed by abnormal 135:
Age-standardised death rates from esophageal cancer, as reported by the WHO in 2004.
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Hofstad B, Vatn MH, Andersen SN, Huitfeldt HS, Rognum T, Larsen S, Osnes M (1996).
1674: 1657: 1487:"Recent developments in pathogenesis, diagnosis and therapy of Barrett's esophagus" 1194: 1140: 1086: 1044: 996: 947: 877: 622: 603: 549: 439: 368: 275: 271: 242: 76: 1381:
Fauci AS, Braunwald E, Kasper D, Hauser S, Longo D, Jameson J, Loscalzo J (2008).
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Arcidiacono, PG; Calori, G; Carrara, S; McNicol, ED; Testoni, PA (Mar 16, 2011).
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Moss, AC; Morris, E; Mac Mathuna, P (Apr 19, 2006). MacMathuna, Padraic (ed.).
2586: 1950: 1710: 1634: 1590: 1263: 1239: 701: 670: 579: 571: 487: 406: 402: 352: 313: 2052: 1503: 1400: 1339: 1299: 847: 552:. Colorectal cancer has a comparatively good prognosis when detected early. 2482: 2405: 2223: 2040: 2036: 1847: 1417:. National Cancer Institute at the National Institutes of Health. 1980-01-01 832:(5th ed.). Chichester, West Sussex: Blackwell Pub. pp. 603, 1028. 798: 778: 774: 466: 394: 360: 309: 262: 144: 100: 88: 1968: 1919: 1865: 1767: 1718: 1683: 1642: 1598: 1563: 1522: 1471: 1212: 1158: 1104: 1052: 1014: 965: 885: 1816: 2545: 1798: 794: 762: 729: 725: 716:
Gastric cancer develops within areas (field defects) of the stomach with
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mucosa with intestinal metaplasia. Barrett's esophagus is the dominant
1749: 618: 479: 344: 325: 251: 167: 1884:"Bile acids as endogenous etiologic agents in gastrointestinal cancer" 2031: 614: 541: 530: 507: 336: 104: 67: 1320:
Nicki R. Colledge; Brian R. Walker; Stuart H. Ralston, eds. (2010).
739: 584: 465: 347:, and a patient might be monitored through blood tests (including 130: 2542: 1438:"Field defects in progression to gastrointestinal tract cancers" 1436:
Bernstein C, Bernstein H, Payne CM, Dvorak K, Garewal H (2008).
1179:"Palliative biliary stents for obstructing pancreatic carcinoma" 2056: 316:. Liver cancer may bring about yellowing of the skin and eyes ( 199: 782: 599: 595: 502:. Colorectal cancer can be detected through the bleeding of a 340: 570:(dentate line), which is located about 1–2 cm from the 544:
can reveal the extent of the involvement of the bowel wall.
254:, possibly radiating to the back. Another symptom might be 1882:
Bernstein H, Bernstein C, Payne CM, Dvorak K (July 2009).
1125:"Celiac plexus block for pancreatic cancer pain in adults" 435:
represent from 1% to 3% of gastrointestinal malignancies.
355:. These cancers are typically treated according to their 688:
Esophageal squamous-cell carcinomas may occur as second
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of the esophagus tend to arise in a field defect called
981:"Endoscopic mucosal resection for early gastric cancer" 1224: 1222: 566:
An important anatomic landmark in anal cancer is the
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Organ system cancer located in gastrointestinal tract
2009: 2585: 2514: 2472: 2395: 2386: 2361: 2339: 2237: 2214: 2189: 2180: 2131: 2108: 2099: 2090: 2013: 55: 40: 35: 1026: 1024: 1284:(8th ed.). Philadelphia: Saunders/Elsevier. 1118: 1116: 1114: 673:change of the esophageal mucosa from squamous to 1877: 1875: 1385:(17th ed.). New York: McGraw-Hill Medical. 1376: 1374: 1315: 1313: 1311: 1309: 863: 861: 859: 857: 527:A constant feeling of having to go to the toilet 413:. The prognosis for gallbladder cancer is poor. 324:), or cause a buildup of fluid in the abdomen ( 203: 1355:The ASCRS textbook of colon and rectal surgery 1322:Davidson's principles and practice of medicine 1275: 1273: 2068: 8: 1986:Gastrointestinal (GI) Cancer Resource Centre 823: 821: 819: 817: 815: 685:, and has prevalent epigenetic alterations. 548:is necessary for treatment, with or without 230:Upper and lower human gastrointestinal tract 1183:The Cochrane Database of Systematic Reviews 1172: 1170: 1168: 1129:The Cochrane Database of Systematic Reviews 1033:The Cochrane Database of Systematic Reviews 985:The Cochrane Database of Systematic Reviews 979:Bennett, C; Wang, Y; Pan, T (Oct 7, 2009). 936:The Cochrane Database of Systematic Reviews 870:The Cochrane Database of Systematic Reviews 777:are synthesized in the liver to facilitate 2392: 2186: 2105: 2096: 2075: 2061: 2053: 2010: 1383:Harrison's principles of internal medicine 1353:Bruce G. Wolff; et al., eds. (2007). 1068:"Chemotherapy for advanced gastric cancer" 925: 923: 921: 919: 917: 587:. Anal cancer is strongly associated with 32: 2331:Hereditary nonpolyposis colorectal cancer 1958: 1933:Bernstein H, Bernstein C (January 2023). 1909: 1899: 1855: 1806: 1757: 1673: 1553: 1512: 1502: 1461: 1202: 1148: 1094: 1004: 955: 828:Yamada T, Alpers DH, et al. (2009). 533:might also point to this kind of cancer. 496:hereditary nonpolyposis colorectal cancer 335:An attending practitioner might order a 2556:Intraductal papillary mucinous neoplasm 1280:Vinay Kumar; et al., eds. (2007). 1256:Cochrane Database of Systematic Reviews 1232:Cochrane Database of Systematic Reviews 1075:Cochrane Database of Systematic Reviews 811: 766:often due to aberrant DNA methylation. 700:(i.e. a regional reaction to long-term 1485:Halland M, Katzka D, Iyer PG (2015). 292:People get liver cancer (also called 7: 258:, a yellowing of the skin and eyes. 2605:Desmoplastic small round cell tumor 745:that were precursors to the tumors. 2306:Polymerase proofreading-associated 1415:"Gastrointestinal Carcinoid Tumor" 932:"Screening for oesophageal cancer" 478:Colorectal cancer is a disease of 25: 2168:Hereditary diffuse gastric cancer 1998:Gastrointestinal Cancer Treatment 1699:Best Pract Res Clin Gastroenterol 1357:. New York: Springer. p. 1. 593:sexually transmissible infections 546:Removal of a section of the colon 482:. It typically originates in the 427:mucosa-associated lymphoid tissue 2464:Nodular regenerative hyperplasia 635:gastrointestinal carcinoid tumor 629:Gastrointestinal carcinoid tumor 602:. Anal cancer may be a cause of 613:Anal cancer is investigated by 433:Gastrointestinal stromal tumors 2566:Solid pseudopapillary neoplasm 2369:Gastrointestinal stromal tumor 2326:Familial adenomatous polyposis 1830:Luo Y, Yu M, Grady WM (2014). 1675:10.1158/1940-6207.CAPR-11-0096 1195:10.1002/14651858.CD004200.pub4 1141:10.1002/14651858.CD007519.pub2 1087:10.1002/14651858.cd004064.pub4 1045:10.1002/14651858.CD009322.pub2 997:10.1002/14651858.CD004276.pub3 948:10.1002/14651858.CD007883.pub2 878:10.1002/14651858.CD004183.pub3 540:can find these cancers, and a 500:familial adenomatous polyposis 484:secretory cells lining the gut 1: 2374:Krukenberg tumor (metastatic) 363:is present. Options include 294:hepatocellular carcinoma, HCC 261:Pancreatic cancer has a poor 97:accessory organs of digestion 2595:Primary peritoneal carcinoma 2269:traditional serrated adenoma 1454:10.1016/j.canlet.2007.11.027 830:Textbook of gastroenterology 308:infection or as a result of 2535:Pancreatic ductal carcinoma 300:typically from a prolonged 2642: 2551:Serous microcystic adenoma 2146:Signet ring cell carcinoma 2084:Digestive system neoplasia 559: 459: 386: 351:, liver-function tests or 285: 233: 159: 124: 18:Gastrointestinal neoplasms 2459:Focal nodular hyperplasia 1951:10.1177/15353702221131858 1711:10.1016/j.bpg.2012.12.007 1635:10.1007/s00106-007-1616-7 1591:10.1007/s11912-010-0147-7 1264:10.1002/14651858.CD009323 1240:10.1002/14651858.CD010244 429:, usually in the stomach. 2561:Mucinous cystic neoplasm 2411:Hepatocellular carcinoma 2265:sessile serrated adenoma 1579:Current Oncology Reports 1504:10.3748/wjg.v21.i21.6479 288:Hepatocellular carcinoma 2626:Gastrointestinal cancer 2600:Peritoneal mesothelioma 2349:Squamous cell carcinoma 2118:Squamous cell carcinoma 1836:Gastroenterol Rep (Oxf) 1738:Bioinform Biol Insights 1662:Cancer Prev Res (Phila) 1282:Robbins basic pathology 787:reactive oxygen species 470:Example of an invasive 267:five-year survival rate 149:five-year survival rate 85:Gastrointestinal cancer 36:Gastrointestinal cancer 2441:Hepatocellular adenoma 2229:Pseudomyxoma peritonei 1939:Exp Biol Med (Maywood) 1491:World J. Gastroenterol 749:When a segment of the 746: 652:epigenetic alterations 617:and may be treated by 475: 231: 136: 93:gastrointestinal tract 74:Coffee ground vomiting 1888:World J Gastroenterol 1848:10.1093/gastro/got039 1542:Int J Clin Exp Pathol 743: 722:intestinal metaplasia 681:lesion of esophageal 646:A "field defect" or " 469: 451:Lower digestive tract 399:porcelain gallbladder 229: 134: 116:Upper digestive tract 2446:Cavernous hemangioma 2297:Familial adenomatous 2284:Polyposis syndromes: 1799:10.1136/gut.39.3.449 694:head and neck cancer 330:liver function tests 243:Chronic pancreatitis 1901:10.3748/wjg.15.3329 797:, and induction of 698:field cancerization 667:Barrett's esophagus 648:field cancerization 514:or the biopsy of a 425:is a cancer of the 359:and whether or not 181:Helicobacter pylori 176:alcohol consumption 2506:Gallbladder cancer 2488:Cholangiocarcinoma 2428:Liver angiosarcoma 2362:Upper and/or lower 2311:Serrated polyposis 2003:2023-01-20 at the 1991:2017-12-13 at the 1750:10.4137/BBI.S24066 747: 730:malignant neoplasm 718:atrophic gastritis 654:and/or mutations. 589:ulcerative colitis 476: 444:cholangiocarcinoma 389:Gallbladder cancer 383:Gallbladder cancer 365:surgical resection 232: 186:Epstein-Barr virus 137: 91:conditions of the 2613: 2612: 2581: 2580: 2573:Pancreatoblastoma 2525:exocrine pancreas 2382: 2381: 2357: 2356: 2176: 2175: 2141:Gastric carcinoma 2050: 2049: 1392:978-0-07-147692-8 1364:978-0-387-24846-2 1331:978-0-7020-3085-7 1291:978-1-4160-2973-1 839:978-1-4051-6911-0 755:colorectal cancer 512:bowel obstruction 472:colorectal cancer 462:Colorectal cancer 456:Colorectal cancer 349:alpha-fetoprotein 236:Pancreatic cancer 196:Pancreatic cancer 190:pernicious anemia 127:Esophageal cancer 121:Esophageal cancer 82: 81: 30:Medical condition 16:(Redirected from 2633: 2393: 2292:MUTYH-associated 2277:Cronkhite–Canada 2248:Colorectal polyp 2187: 2163:Linitis plastica 2151:Gastric lymphoma 2106: 2097: 2077: 2070: 2063: 2054: 2011: 1973: 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3329–40. 1881: 1880: 1873: 1829: 1828: 1824: 1780: 1779: 1775: 1731: 1730: 1726: 1696: 1695: 1691: 1668:(12): 1982–92. 1655: 1654: 1650: 1619: 1618: 1614: 1576: 1575: 1571: 1535: 1534: 1530: 1497:(21): 6479–90. 1484: 1483: 1479: 1435: 1434: 1430: 1420: 1418: 1413: 1412: 1408: 1393: 1380: 1379: 1372: 1365: 1352: 1351: 1347: 1332: 1319: 1318: 1307: 1292: 1279: 1278: 1271: 1252: 1251: 1247: 1228: 1227: 1220: 1189:(2): CD004200. 1176: 1175: 1166: 1135:(3): CD007519. 1122: 1121: 1112: 1081:(8): CD004064. 1070: 1065: 1064: 1060: 1039:(9): CD009322. 1030: 1029: 1022: 991:(4): CD004276. 978: 977: 973: 929: 928: 915: 905: 903: 898: 897: 893: 872:(3): CD004183. 867: 866: 855: 840: 827: 826: 813: 808: 789:, induction of 772: 753:, containing a 751:large intestine 738: 736:Large intestine 714: 663:Adenocarcinomas 660: 644: 631: 564: 558: 490:syndromes like 464: 458: 453: 438:Cancers of the 419: 391: 385: 290: 284: 238: 228: 200: 198: 164: 158: 129: 123: 118: 95:(GI tract) and 31: 28: 23: 22: 15: 12: 11: 5: 2639: 2637: 2629: 2628: 2618: 2617: 2611: 2610: 2608: 2607: 2602: 2597: 2591: 2589: 2583: 2582: 2579: 2578: 2576: 2575: 2569: 2568: 2563: 2558: 2553: 2538: 2537: 2532: 2530:Adenocarcinoma 2520: 2518: 2512: 2511: 2509: 2508: 2496: 2495: 2493:Klatskin tumor 2490: 2478: 2476: 2470: 2469: 2467: 2466: 2461: 2449: 2448: 2443: 2431: 2430: 2425: 2423:Hepatoblastoma 2420: 2419: 2418: 2401: 2399: 2390: 2384: 2383: 2380: 2379: 2377: 2376: 2371: 2365: 2363: 2359: 2358: 2355: 2354: 2352: 2351: 2345: 2343: 2337: 2336: 2334: 2333: 2328: 2323: 2321:Adenocarcinoma 2314: 2313: 2308: 2303: 2294: 2289: 2280: 2279: 2243: 2241: 2235: 2234: 2232: 2231: 2226: 2220: 2218: 2212: 2211: 2209: 2208: 2207: 2206: 2204:Adenocarcinoma 2195: 2193: 2184: 2178: 2177: 2174: 2173: 2171: 2170: 2165: 2160: 2159: 2158: 2148: 2143: 2137: 2135: 2129: 2128: 2126: 2125: 2123:Adenocarcinoma 2120: 2114: 2112: 2103: 2094: 2088: 2087: 2082: 2080: 2079: 2072: 2065: 2057: 2048: 2047: 2044: 2043: 2023: 2018: 2017: 2015: 2014:Classification 2008: 2007: 1995: 1981: 1980:External links 1978: 1975: 1974: 1925: 1871: 1822: 1773: 1724: 1689: 1648: 1612: 1569: 1528: 1477: 1428: 1406: 1391: 1370: 1363: 1345: 1330: 1305: 1290: 1269: 1245: 1218: 1164: 1110: 1058: 1020: 971: 913: 891: 853: 838: 810: 809: 807: 804: 771: 768: 737: 734: 713: 710: 690:primary tumors 683:adenocarcinoma 659: 656: 643: 640: 630: 627: 568:pectinate line 560:Main article: 557: 554: 510:bowel pain, a 492:Peutz-Jegher's 460:Main article: 457: 454: 452: 449: 448: 447: 436: 430: 418: 415: 401:appearance on 387:Main article: 384: 381: 286:Main article: 283: 280: 234:Main article: 197: 194: 172:adenocarcinoma 166:Cancer of the 162:Stomach cancer 160:Main article: 157: 156:Stomach cancer 154: 143:Cancer of the 125:Main article: 122: 119: 117: 114: 103:, followed by 80: 79: 59: 53: 52: 44: 38: 37: 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2638: 2627: 2624: 2623: 2621: 2606: 2603: 2601: 2598: 2596: 2593: 2592: 2590: 2588: 2584: 2574: 2571: 2570: 2567: 2564: 2562: 2559: 2557: 2554: 2552: 2548: 2547: 2544: 2540: 2539: 2536: 2533: 2531: 2528: 2526: 2522: 2521: 2519: 2517: 2513: 2507: 2504: 2502: 2498: 2497: 2494: 2491: 2489: 2486: 2484: 2480: 2479: 2477: 2475: 2474:Biliary tract 2471: 2465: 2462: 2460: 2457: 2455: 2451: 2450: 2447: 2444: 2442: 2439: 2437: 2433: 2432: 2429: 2426: 2424: 2421: 2417: 2416:Fibrolamellar 2414: 2413: 2412: 2409: 2407: 2403: 2402: 2400: 2398: 2394: 2391: 2389: 2385: 2375: 2372: 2370: 2367: 2366: 2364: 2360: 2350: 2347: 2346: 2344: 2342: 2338: 2332: 2329: 2327: 2324: 2322: 2319: 2316: 2315: 2312: 2309: 2307: 2304: 2302: 2298: 2295: 2293: 2290: 2288: 2285: 2282: 2281: 2278: 2274: 2273:Peutz–Jeghers 2270: 2266: 2262: 2258: 2254: 2251: 2249: 2245: 2244: 2242: 2240: 2236: 2230: 2227: 2225: 2222: 2221: 2219: 2217: 2213: 2205: 2202: 2201: 2200: 2197: 2196: 2194: 2192: 2188: 2185: 2183: 2179: 2169: 2166: 2164: 2161: 2157: 2156:MALT lymphoma 2154: 2153: 2152: 2149: 2147: 2144: 2142: 2139: 2138: 2136: 2134: 2130: 2124: 2121: 2119: 2116: 2115: 2113: 2111: 2107: 2104: 2102: 2098: 2095: 2093: 2089: 2085: 2078: 2073: 2071: 2066: 2064: 2059: 2058: 2055: 2042: 2038: 2034: 2033: 2029: 2025: 2024: 2021: 2016: 2012: 2006: 2002: 1999: 1996: 1994: 1990: 1987: 1984: 1983: 1979: 1970: 1966: 1961: 1956: 1952: 1948: 1944: 1940: 1936: 1929: 1926: 1921: 1917: 1912: 1907: 1902: 1897: 1893: 1889: 1885: 1878: 1876: 1872: 1867: 1863: 1858: 1853: 1849: 1845: 1841: 1837: 1833: 1826: 1823: 1818: 1814: 1809: 1804: 1800: 1796: 1793:(3): 449–56. 1792: 1788: 1784: 1777: 1774: 1769: 1765: 1760: 1755: 1751: 1747: 1743: 1739: 1735: 1728: 1725: 1720: 1716: 1712: 1708: 1705:(2): 205–23. 1704: 1700: 1693: 1690: 1685: 1681: 1676: 1671: 1667: 1663: 1659: 1652: 1649: 1644: 1640: 1636: 1632: 1628: 1625:(in German). 1624: 1616: 1613: 1608: 1604: 1600: 1596: 1592: 1588: 1584: 1580: 1573: 1570: 1565: 1561: 1556: 1551: 1548:(5): 382–96. 1547: 1543: 1539: 1532: 1529: 1524: 1520: 1515: 1510: 1505: 1500: 1496: 1492: 1488: 1481: 1478: 1473: 1469: 1464: 1459: 1455: 1451: 1448:(1–2): 1–10. 1447: 1443: 1439: 1432: 1429: 1416: 1410: 1407: 1402: 1398: 1394: 1388: 1384: 1377: 1375: 1371: 1366: 1360: 1356: 1349: 1346: 1341: 1337: 1333: 1327: 1323: 1316: 1314: 1312: 1310: 1306: 1301: 1297: 1293: 1287: 1283: 1276: 1274: 1270: 1265: 1261: 1257: 1249: 1246: 1241: 1237: 1233: 1225: 1223: 1219: 1214: 1210: 1205: 1200: 1196: 1192: 1188: 1184: 1180: 1173: 1171: 1169: 1165: 1160: 1156: 1151: 1146: 1142: 1138: 1134: 1130: 1126: 1119: 1117: 1115: 1111: 1106: 1102: 1097: 1092: 1088: 1084: 1080: 1076: 1069: 1062: 1059: 1054: 1050: 1046: 1042: 1038: 1034: 1027: 1025: 1021: 1016: 1012: 1007: 1002: 998: 994: 990: 986: 982: 975: 972: 967: 963: 958: 953: 949: 945: 941: 937: 933: 926: 924: 922: 920: 918: 914: 901: 895: 892: 887: 883: 879: 875: 871: 864: 862: 860: 858: 854: 849: 845: 841: 835: 831: 824: 822: 820: 818: 816: 812: 805: 803: 800: 796: 792: 788: 784: 780: 776: 769: 767: 764: 760: 756: 752: 742: 735: 733: 731: 727: 723: 719: 711: 709: 707: 703: 699: 695: 691: 686: 684: 680: 679:pre-malignant 676: 672: 668: 664: 657: 655: 653: 649: 642:Field defects 641: 639: 636: 628: 626: 624: 620: 616: 611: 609: 605: 601: 597: 594: 590: 586: 581: 577: 573: 569: 563: 555: 553: 551: 547: 543: 539: 534: 532: 528: 524: 521: 517: 513: 509: 505: 501: 497: 493: 489: 485: 481: 473: 468: 463: 455: 450: 445: 441: 437: 434: 431: 428: 424: 423:MALT lymphoma 421: 420: 416: 414: 412: 408: 404: 400: 396: 390: 382: 380: 378: 374: 370: 366: 362: 358: 354: 350: 346: 342: 338: 333: 331: 327: 323: 319: 315: 312:from chronic 311: 307: 303: 299: 295: 289: 281: 279: 277: 273: 268: 264: 259: 257: 253: 248: 244: 237: 195: 193: 191: 187: 183: 182: 177: 173: 169: 163: 155: 153: 150: 146: 141: 133: 128: 120: 115: 113: 109: 106: 102: 98: 94: 90: 86: 78: 75: 72: 69: 66: 63: 60: 58: 54: 51: 48: 45: 43: 39: 34: 19: 2541: 2523: 2499: 2481: 2452: 2434: 2404: 2317: 2283: 2257:hyperplastic 2246: 2239:Colon/rectum 2026: 1945:(1): 79–89. 1942: 1938: 1928: 1891: 1887: 1842:(1): 16–20. 1839: 1835: 1825: 1790: 1786: 1776: 1741: 1737: 1727: 1702: 1698: 1692: 1665: 1661: 1651: 1629:(6): 603–8. 1626: 1622: 1615: 1585:(2): 132–7. 1582: 1578: 1572: 1545: 1541: 1531: 1494: 1490: 1480: 1445: 1441: 1431: 1419:. Retrieved 1409: 1382: 1354: 1348: 1321: 1281: 1255: 1248: 1231: 1186: 1182: 1132: 1128: 1078: 1074: 1061: 1036: 1032: 988: 984: 974: 942:: CD007883. 939: 935: 904:. Retrieved 894: 869: 829: 773: 748: 715: 702:carcinogenic 687: 661: 645: 632: 623:radiotherapy 612: 604:constipation 565: 550:chemotherapy 535: 477: 442:, including 440:biliary tree 392: 369:embolisation 334: 320:), itching ( 297: 293: 291: 282:Liver cancer 276:chemotherapy 272:radiotherapy 260: 239: 179: 165: 142: 138: 110: 84: 83: 77:Hematochezia 70: 61: 2501:gallbladder 2454:hyperplasia 1442:Cancer Lett 793:leading to 781:of dietary 671:metaplastic 576:anal mucosa 574:(where the 562:Anal cancer 556:Anal cancer 538:colonoscope 523:colonoscopy 302:Hepatitis B 65:Hematemesis 2587:Peritoneum 1421:15 October 906:12 October 806:References 791:DNA damage 775:Bile acids 763:neoplastic 706:epigenetic 580:anal canal 572:anal verge 488:hereditary 407:ultrasound 403:ultrasound 395:gallstones 353:ultrasound 314:alcoholism 87:refers to 2546:neoplasms 2483:bile duct 2406:malignant 2388:Accessory 2318:Neoplasm: 2301:Gardner's 2224:Carcinoid 2110:Esophagus 1744:: 111–7. 1607:207335139 1401:237889182 1340:455157186 1300:804094752 848:404100761 799:apoptosis 779:digestion 708:markers. 696:, due to 658:Esophagus 536:Use of a 520:screening 361:cirrhosis 357:TNM stage 310:cirrhosis 298:hepatoma) 265:, with a 263:prognosis 145:esophagus 101:endoscopy 89:malignant 42:Specialty 2620:Category 2516:Pancreas 2287:Juvenile 2261:juvenile 2216:Appendix 2092:GI tract 2001:Archived 1989:Archived 1969:36408538 1920:19610133 1866:24760232 1768:26244015 1719:23809241 1684:21952583 1643:17928979 1599:21234721 1564:22808291 1523:26074687 1472:18164807 1213:16625598 1159:21412903 1105:28850174 1053:24062262 1015:19821324 966:23235651 957:11091427 886:18677777 795:mutation 770:Etiology 675:columnar 608:tenesmus 591:and the 585:ulcerate 373:ablation 322:pruritus 318:jaundice 256:jaundice 247:diabetes 57:Symptoms 50:oncology 2253:adenoma 2133:Stomach 1960:9989147 1911:2712893 1857:3920999 1817:8949653 1808:1383355 1759:4496000 1555:3396065 1514:4458759 1463:2744582 1204:6769023 1150:6464722 1096:6483552 1006:7199372 712:Stomach 619:surgery 578:of the 508:colicky 480:old age 345:CT scan 326:ascites 252:abdomen 168:stomach 2543:cystic 2436:benign 1967:  1957:  1918:  1908:  1864:  1854:  1815:  1805:  1766:  1756:  1717:  1682:  1641:  1605:  1597:  1562:  1552:  1521:  1511:  1470:  1460:  1399:  1389:  1361:  1338:  1328:  1298:  1288:  1211:  1201:  1157:  1147:  1103:  1093:  1051:  1013:  1003:  964:  954:  884:  846:  836:  759:polyps 615:biopsy 542:biopsy 531:anemia 337:biopsy 188:) and 105:biopsy 68:Melena 2397:Liver 2182:Lower 2101:Upper 1603:S2CID 1071:(PDF) 902:. WHO 726:miRNA 518:at a 516:polyp 504:polyp 498:, or 417:Other 375:or a 343:or a 339:, an 71:lower 62:upper 2341:Anus 1965:PMID 1916:PMID 1862:PMID 1813:PMID 1764:PMID 1715:PMID 1680:PMID 1639:PMID 1595:PMID 1560:PMID 1519:PMID 1468:PMID 1423:2013 1397:OCLC 1387:ISBN 1359:ISBN 1336:OCLC 1326:ISBN 1296:OCLC 1286:ISBN 1209:PMID 1187:2006 1155:PMID 1133:2019 1101:PMID 1079:2017 1049:PMID 1011:PMID 989:2009 962:PMID 908:2013 882:PMID 844:OCLC 834:ISBN 783:fats 720:and 621:and 598:and 397:, a 274:and 2041:C26 2037:C15 2028:ICD 1955:PMC 1947:doi 1943:248 1906:PMC 1896:doi 1852:PMC 1844:doi 1803:PMC 1795:doi 1787:Gut 1754:PMC 1746:doi 1707:doi 1670:doi 1631:doi 1623:HNO 1587:doi 1550:PMC 1509:PMC 1499:doi 1458:PMC 1450:doi 1446:260 1260:doi 1236:doi 1199:PMC 1191:doi 1145:PMC 1137:doi 1091:PMC 1083:doi 1041:doi 1001:PMC 993:doi 952:PMC 944:doi 874:doi 606:or 600:HIV 596:HPV 529:or 341:MRI 304:or 296:or 184:or 2622:: 2549:: 2275:, 2271:, 2267:, 2263:, 2259:, 2255:, 2039:- 2035:: 2032:10 1963:. 1953:. 1941:. 1937:. 1914:. 1904:. 1892:15 1890:. 1886:. 1874:^ 1860:. 1850:. 1838:. 1834:. 1811:. 1801:. 1791:39 1789:. 1785:. 1762:. 1752:. 1740:. 1736:. 1713:. 1703:27 1701:. 1678:. 1664:. 1660:. 1637:. 1627:56 1601:. 1593:. 1583:13 1581:. 1558:. 1544:. 1540:. 1517:. 1507:. 1495:21 1493:. 1489:. 1466:. 1456:. 1444:. 1440:. 1395:. 1373:^ 1334:. 1308:^ 1294:. 1272:^ 1258:. 1234:. 1221:^ 1207:. 1197:. 1185:. 1181:. 1167:^ 1153:. 1143:. 1131:. 1127:. 1113:^ 1099:. 1089:. 1077:. 1073:. 1047:. 1035:. 1023:^ 1009:. 999:. 987:. 983:. 960:. 950:. 940:12 938:. 934:. 916:^ 880:. 856:^ 842:. 814:^ 633:A 525:. 506:, 494:, 411:CT 379:. 371:, 367:, 332:. 278:. 245:, 2527:: 2503:: 2485:: 2456:: 2438:: 2408:: 2299:/ 2250:: 2076:e 2069:t 2062:v 2030:- 2020:D 1971:. 1949:: 1922:. 1898:: 1868:. 1846:: 1840:2 1819:. 1797:: 1770:. 1748:: 1742:9 1721:. 1709:: 1686:. 1672:: 1666:4 1645:. 1633:: 1609:. 1589:: 1566:. 1546:5 1525:. 1501:: 1474:. 1452:: 1425:. 1403:. 1367:. 1342:. 1302:. 1266:. 1262:: 1242:. 1238:: 1215:. 1193:: 1161:. 1139:: 1107:. 1085:: 1055:. 1043:: 1037:9 1017:. 995:: 968:. 946:: 910:. 888:. 876:: 850:. 474:. 446:. 306:C 20:)

Index

Gastrointestinal neoplasms
Specialty
Gastroenterology
oncology
Symptoms
Hematemesis
Melena
Coffee ground vomiting
Hematochezia
malignant
gastrointestinal tract
accessory organs of digestion
endoscopy
biopsy
Esophageal cancer

esophagus
five-year survival rate
Stomach cancer
stomach
adenocarcinoma
alcohol consumption
Helicobacter pylori
Epstein-Barr virus
pernicious anemia
Pancreatic cancer
Chronic pancreatitis
diabetes
abdomen
jaundice

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