In a recent special edition of Familial Cancer, a quarterly Journal of
Cancer Genetics, results of research found Ashkenazi Jews may have one of
the highest lifetime risks for colorectal cancer of any ethnic group in the
world. Henry T. Lynch, M.D., editor of the Journal, professor and chairman
of Preventative Medicine and Public Health, and director of the Hereditary
Cancer Institute at Creighton University Medical Center, calls for more
intensive colorectal cancer screening guidelines as a result of these
findings.
The lifetime risk of colorectal cancer in the general population of the
United States is approximately 5 to 6 percent. However, among Ashkenazi
Jews, the rate is estimated to be as high as 9 to 15 percent. Approximately
5 to 10 percent of cases of colorectal cancer is hereditary.
“Clearly, these findings emphasize the need to develop special surveillance
and management strategies for colorectal cancer among Ashkenazi men and
women,” says Dr. Lynch. He recommends individuals with first or second
degree relatives with colorectal cancer begin colonoscopies at age 35 and
repeat it every three years. Special screening attention must be given to
hereditary forms of colorectal cancer.
This issue of Familial Cancer is intended to increase the understanding of
the specific cancer risks that Jewish people face, and to provide insights
into causes, control and ultimately the prevention of many forms of
carcinomas. Understanding familial cancer in Jewish people helps the medical
community understand their special need and the importance of genetic
testing, according to Dr. Lynch.
Furthermore, marked clinical examples found Jewish people also have a higher
risk of cancer of the ovary, pancreas, stomach and non-Hodgkin’s lymphoma.
Results of the research also found overall cancer incidence is not higher in
Ashkenazi Jewish people when compared to North American, non-Hispanic white
people.
Dr. Lynch has studied pancreatic cancer and its hereditary predisposition in
certain families for more than 30 years. In 2003, Dr. Lynch received
$150,000 award from the Jacqueline Seroussi Memorial Foundation for Cancer
Research, a non-profit entity established in Israel, for his research
regarding the role of genetics in pancreatic carcinoma.
Creighton physicians/researchers are significant contributors to national
healthcare and educational advancements in the areas of cancer, bacterial
resistance, hearing loss, and the conditions that affect bone growth and
loss. In the Jesuit Catholic tradition of caring for the whole person –
mind, body and spirit – Creighton University Medical Center, for more than a
century, has served as a vital source of health care and education in Omaha
and the Great Plains. |