National Cancer Institute, www.cancer.gov
The Nation's Progress in Cancer Research: An Annual Report for 2003
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ASPIRIN BENEFICIAL FOR THOSE AT RISK FOR COLON CANCER

Two recent randomized, placebo-controlled trials funded by NCI and a third study from France recently reported in Gastroenterology point to the benefit of aspirin against colon cancer and its recurrence. The results revolve around adenomas, non-cancerous growths in the colon that are a strong risk factor for colon cancer. Removing adenomas or preventing their recurrence significantly reduces the risk for colon cancer.


 
Researchers at Dartmouth University and colleagues around the country followed three groups of people who had recently had adenomas removed. One group took a placebo, a second group a "baby aspirin" (81 milligrams), and the third group a standard aspirin (325 milligrams). Compared to the group taking the placebo, those who took the "baby aspirin" were 19 percent less likely to develop another adenoma; those who took the standard-dose aspirin were 4 percent less likely to have another adenoma.

In the second study, done within the Cancer and Leukemia Group B and based at the University of North Carolina, researchers found a 35-percent reduction of adenomas in people who had already been treated for colorectal cancer. These people had taken the standard aspirin dose.

"Fortunately, aspirin seems to reduce the risk for adenoma when it is taken routinely at doses used in preventing heart disease or for arthritis," says Ernest Hawk, M.D., M.P.H., of NCI's Division of Cancer Prevention. "So patients using aspirin for these reasons may also be decreasing their risk for colon adenomas and cancer. Of course, aspirin - like any medicine - can cause serious side effects, such as stomach ulcers. It's important for people to carefully weigh the risks and benefits. Indeed, no one should take aspirin in an effort to prevent colon cancer without first consulting a doctor."


Baron JA, Cole BF, Sandler RS, Haile RW, Ahnen D, Bresalier R, McKeown-Eyssen G, Summers RW, Rothstein R, Burke CA, Snover DC, Church TR, Allen JI, Beach M, Beck GJ, Bond JH, Byers T, Greenberg ER, Mandel JS, Marcon N, Mott LA, Pearson L, Saibil F, van Stolk RU. A randomized trial of aspirin to prevent colorectal adenomas. New England Journal of Medicine, March 6, 2003; 348(10):891-899.


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