Format

Send to:

Choose Destination
See comment in PubMed Commons below
Isr Med Assoc J. 2010 Jan;12(1):21-5.

First report of screening an asymptomatic population for cancer: the yield of an integrated cancer prevention center.

Author information

  • 1Department of Medicine B, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel.

Abstract

BACKGROUND:

Cancer is a leading cause of mortality worldwide. The most effective way to combat cancer is by prevention and early detection.

OBJECTIVES:

To evaluate the outcome of screening an asymptomatic population for the presence of benign and neoplastic lesions.

METHODS:

Routine screening tests for prevention and/or early detection of 11 common cancers were conducted in 300 consecutive asymptomatic apparently healthy adults aged 25-77 years. Other tests were performed as indicated.

RESULTS:

Malignant and benign lesions were found in 3.3% and 5% of the screenees, respectively, compared to 1.7% in the general population. The most common lesions were in the gastrointestinal tract followed by skin, urogenital tract and breast. Advanced age and a family history of a malignancy were associated with increased risk for cancer with an odds ratio of 9 and 3.5, respectively (95% confidence interval 1.1-71 and 0.9-13, respectively). Moreover, high serum C-reactive protein levels and polymorphisms in the APC and CD24 genes indicated high cancer risk. When two of the polymorphisms existed in an individual, the risk for a malignant lesion was extremely high (23.1%; OR 14, 95% CI 2.5-78).

CONCLUSIONS:

Screening asymptomatic subjects identifies a significant number of neoplastic lesions at an early stage. Incorporating data on genetic polymorphisms in the APC and CD24 genes can further identify individuals who are at increased risk for cancer. Cancer can be prevented and/or diagnosed at an early stage using the screening facilities of a multidisciplinary outpatient clinic.

Comment in

PMID:
20450124
[PubMed - indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Israel Medical Association
    Loading ...
    Write to the Help Desk