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The role of aspirin in prevention and management of colorectal cancer

机译:阿司匹林在大肠癌防治中的作用

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H&O What are the possible benefits of daily aspirin use? CF The benefits of aspirin in terms of prevention of cardiovascular disease are well established. The US Preventive Services Task Force recommends regular aspirin use for men 45 years of age and older and for women 55 years of age and older as a preventative for cardiovascular disease. Researchers have since embarked on a number of studies looking at aspirin and its ability to prevent colorectal cancer based, in part, on some early preclinical data and studies in small populations, as well as on the phenomenon that the punitive target of aspirin, cyclooxygenase 2 (COX-2), is expressed in the majority of colorectal adenomas and cancers. We have studied the relationship of aspirin use and colon adenoma and cancer risk in several cohorts, mainly the Nurses' Health Study and the Health Professionals Follow-Up Study; these are large prospective cohorts of over 170,000 patients. From our analysis we found that aspirin use on a regular basis significantly reduces the subsequent risk of developing colorectal adenomas and cancers.
机译:H&O每日服用阿司匹林可能有哪些好处? CF阿司匹林在预防心血管疾病方面的益处已广为人知。美国预防服务工作队建议,对于45岁以上的男性和55岁以上的女性,定期使用阿司匹林作为心血管疾病的预防剂。此后,研究人员着手进行了一些研究,研究阿司匹林及其预防结直肠癌的能力,部分是基于一些早期的临床前数据和在小规模人群中的研究,以及基于阿司匹林的惩罚性靶点环氧合酶2的现象。 (COX-2)在大多数结直肠腺瘤和癌症中表达。我们在几个队列研究了阿司匹林使用与结肠腺瘤和癌症风险之间的关系,主要是护士健康研究和健康专业人员随访研究。这些是超过170,000名患者的大型前瞻性队列。从我们的分析中我们发现,定期使用阿司匹林可显着降低随后发展为大肠腺瘤和癌症的风险。

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