| Theme |
Early detection and prevention for cancer of dialysis patients |
| Title |
Preventive measures and risk factors of malignant tumor of dialysis patients -- Colorectal cancer and risk factors associated with cancer |
| Author |
Kazuhiro Mino |
Department of Surgery, Sapporo Hokuyu Hospital |
| Author |
Kazutaka Kukita |
Department of Surgery, Sapporo Hokuyu Hospital |
| Author |
Junichi Gotoh |
Department of Surgery, Sapporo Hokuyu Hospital |
| Author |
Seiichiro Tsuchihashi |
Department of Surgery, Sapporo Hokuyu Hospital |
| Author |
Masahiro Hattori |
Department of Surgery, Sapporo Hokuyu Hospital |
| Author |
Motoki Yonekawa |
Department of Surgery, Sapporo Hokuyu Hospital |
| [ Summary ] |
Primary and secondary prevention are important for treatment of colorectal cancer. Recently, verification of important factors for primary prevention have been summarized. Colonoscopy is an invasive modality. However it plays a very important role in secondary prevention. Capsule endoscopy and colon CT have emerged as non-invasive alternatives to colonoscopy. On the other hand, there remain problems in terms of facilities and cost. Currently, the standard screening method is fecal occult blood tests, but their sensitivity is low in terms of detecting early cancer. False positives also often occur in dialysis patients receiving this test. Therefore more powerful biomarkers for early diagnosis are being developed.
To prevent colorectal cancer in dialysis patients, primary prevention including constipation management and regular colonoscopies should be carried out. |