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Gastrointestinal Neoplasia, An Issue of Gastroenterology Clinics of North America, E-Book

Gastrointestinal Neoplasia, An Issue of Gastroenterology Clinics of North America, E-Book

Paul J. Limburg | Dan A. Dixon

(2016)

Additional Information

Book Details

Abstract

Gastrointestinal (GI) cancers account for nearly 150,000 deaths each year, in the United States alone.  Encouragingly, environmental risk factors, premalignant conditions, and high-risk familial kindreds are well described for many GI cancers.  In this comprehensive volume on GI Neoplasia, all luminal cancers will be discussed, along with pancreas cancer, gastrointestinal stromal tumors (GISTs), carcinoid tumors, and neuroendocrine tumors.  Hepatobiliary cancers are not addressed, as these tumors could form the basis of a separate volume.  Articles are organized to address several key topics for each cancer type, such as: public health burden, molecular pathways, risk and protective factors, early detection, clinical evaluation, management, and survivorship.

Table of Contents

Section Title Page Action Price
Front Cover Cover
GastrointestinalNeoplasia i
Copyright ii
Contributors iii
CONSULTING EDITOR iii
EDITORS iii
AUTHORS iii
Contents vii
Preface: Gastrointestinal Neoplasia: Current Perspectives and Emerging Frontiers\r vii
Esophageal Cancer\r vii
Current Perspectives on Gastric Cancer\r vii
Pancreatic Cancer: A Review\r vii
Small Bowel Adenocarcinoma\r vii
Colorectal Cancer: Genetics is Changing Everything\r viii
Knowns and Known Unknowns of Gastrointestinal Stromal Tumor Adjuvant Therapy\r viii
Neuroendocrine Tumors\r viii
Heritable Gastrointestinal Cancer Syndromes\r ix
Molecular Detection of Gastrointestinal Neoplasia: Innovations in Early Detection and Screening\r ix
The Role of the Microbiome in Gastrointestinal Cancer\r ix
GASTROENTEROLOGY\rCLINICS OF NORTH AMERICA x
FORTHCOMING ISSUES x
December 2016 x
March 2017 x
June 2017 x
September 2017 x
RECENT ISSUES x
June 2016 x
March 2016 x
December 2015 x
September 2015 x
Preface:\rGastrointestinal Neoplasia: Current Perspectives and Emerging Frontiers xi
REFERENCES xii
Esophageal Cancer 399
Key points 399
INTRODUCTION 399
SQUAMOUS CELL CARCINOMA OF THE ESOPHAGUS 400
Current Perspectives on Gastric Cancer 413
Key points 413
GLOBAL IMPACT OF GASTRIC CANCER 413
GASTRIC CANCER CAUSES AND RISK FACTORS 414
Infectious Agents Associated with Gastric Cancer 414
Helicobacter pylori 414
Epstein-Barr virus 415
Genetic Predisposition: Familial Gastric Cancer 416
Demographic, Environmental, and Lifestyle Risk Factors 416
GASTRIC CANCER CLASSIFICATION 416
Histologic Classification 417
GASTRIC CANCER PREVENTION 418
Lifestyle Modification 418
Chemoprevention 419
Helicobacter pylori Eradication 419
SCREENING AND SURVEILLANCE 419
DIAGNOSTIC EVALUATION 421
CLINICAL MANAGEMENT 421
PROGNOSIS AND SURVIVORSHIP 422
ACKNOWLEDGMENTS 422
REFERENCES 422
Pancreatic Cancer 429
Key points 429
INTRODUCTION AND PUBLIC HEALTH CONCERNS 429
MOLECULAR PATHWAYS/GENETICS 430
RISK FACTORS 432
EARLY DETECTION 433
DIAGNOSTIC EVALUATION 435
CLINICAL MANAGEMENT 435
SURGERY 437
CHEMOTHERAPY 439
SURVIVORSHIP 439
FUTURE DIRECTIONS 440
SUMMARY 441
REFERENCES 441
Small Bowel Adenocarcinoma 447
Key points 447
INTRODUCTION 447
EPIDEMIOLOGY 448
Small Intestine Cancer 448
Small Bowel Adenocarcinoma 448
Duodenum Adenocarcinoma 448
TUMOR PHENOTYPING 448
Wnt/Adenomatous polyposis coli /β-Catenin Signaling Pathway 448
Adenomatous polyposis coli 448
Nuclear accumulation of β-catenin 448
Other Tumor Phenotyping 450
Vascular endothelial growth factor and epidermal growth factor receptor 450
RAS 450
HER2 450
TP53 450
Mismatch Repair Alteration 450
RISK FACTORS FOR SMALL BOWEL ADENOCARCINOMA 450
Genetic Predisposition 450
Familial adenomatous polyposis 450
Lynch syndrome 450
Peutz-Jeghers syndrome 451
Intestinal Diseases 451
Crohn’s disease 451
Celiac disease 451
Environmental Factors 451
DIAGNOSIS OF SMALL BOWEL ADENOCARCINOMA 451
Computed Tomography with Enteroclysis 451
Video Capsule Endoscopy 451
Double Balloon Enteroscopy 451
PROGNOSIS 452
Lymph Node 452
Duodenal Primary Tumors 452
Biologic Factors 452
Metastatic Small Bowel Adenocarcinoma 452
TREATMENT 452
Localized Cancer 452
Surgical resection 452
Adjuvant chemotherapy 452
Metastatic Disease 453
Surgical treatment 453
Palliative chemotherapy 453
Targeted therapies 454
SUMMARY 454
REFERENCES 454
Colorectal Cancer 459
Key points 459
INTRODUCTION 459
MOLECULAR PATHWAYS 460
PUBLIC HEALTH BURDEN 461
Impact of Genetics on Colorectal Cancer Burden 463
RISK AND PROTECTIVE FACTORS 463
Impact of Genetics 463
SCREENING AND EARLY DETECTION 464
Impact of Genetics on Colorectal Cancer Screening 466
DIAGNOSTIC EVALUATION 466
Impact of Genetics on Colorectal Cancer Diagnosis 468
PROGNOSIS 468
Impact of Genetics 468
CLINICAL MANAGEMENT 468
Impact of Genetics 469
SURVIVORSHIP 470
Impact of Genetics 471
REFERENCES 471
Knowns and Known Unknowns of Gastrointestinal Stromal Tumor Adjuvant Therapy 477
Key points 477
INTRODUCTION 477
CASE SERIES FROM THE ERA BEFORE IMATINIB THERAPY 478
SELECTED TRIALS OF ADJUVANT IMATINIB 479
Z9000 (1-YEAR IMATINIB) 479
Z9001 (0 VS 1-YEAR ADJUVANT IMATINIB) 480
EUROPEAN ORGANISATION FOR RESEARCH AND TREATMENT OF CANCER INTERGROUP TRIAL (0 VS 2-YEAR ADJUVANT IMATINIB) 480
SCANDINAVIAN SARCOMA GROUP XVIII/ARBEITSGEMEINSCHAFT INTERNISTISCHE ONKOLOGIE (1- VS 3-YEAR ADJUVANT IMATINIB) 480
ONGOING ADJUVANT TRIALS 481
NEOADJUVANT THERAPY 481
REIMAGING 481
MUTATIONS TO IMATINIB 482
NATIONAL AND INTERNATIONAL GUIDELINES 482
COMMENTARY 482
REFERENCES 484
Neuroendocrine Tumors 487
Key points 487
INTRODUCTION 487
Epidemiology 488
Genetics 488
CLINICAL PRESENTATIONS OF GASTROENTEROPANCREATIC NEUROENDOCRINE TUMORS 489
Small Bowel 489
Rectum 490
Stomach 490
Pancreas 490
DIAGNOSTIC MODALITIES 491
Anatomic Imaging 491
Functional Imaging 491
MARKERS OF NEUROENDOCRINE TUMORS DISEASE 492
Chromogranin A 492
Serotonin and 5-Hydroxyindoleacetic Acid 493
MANAGEMENT 494
Surgery for Primary Neuroendocrine Tumors 494
Liver-directed Therapies 494
Locoablative therapy for hepatic metastases 494
Hepatic artery embolization 495
Selective internal radiation therapy 495
Medical Therapies for Neuroendocrine Tumors 495
Somatostatin analogues 495
Interferon-α 497
Chemotherapy 497
Peptide receptor radionuclide therapy 497
Everolimus 499
Sunitinib 499
SUMMARY 499
REFERENCES 500
Heritable Gastrointestinal Cancer Syndromes 509
Key points 509
GENES AND CANCER 509
COLORECTAL CANCER 511
Lynch Syndrome 512
Diagnosis 512
Tumor screening 514
Management 514
COLONIC POLYPOSIS SYNDROMES 514
Familial Adenomatous Polyposis 514
Diagnosis 516
Management 516
MUTYH-Associated Polyposis 517
Polymerase Proofreading Associated Polyposis 517
Hamartomatous Polyposis Syndromes 517
Juvenile polyposis syndrome 518
Peutz-Jeghers syndrome 518
Cowden syndrome 518
Serrated Polyposis 518
Familial Colorectal Cancer Type X 519
Other Genetic Syndromes Associated with Colorectal Cancer Type Risk 519
GASTRIC CANCER 519
Hereditary Diffuse Gastric Cancer 520
Diagnosis 520
Management 520
PANCREATIC ADENOCARCINOMA 521
Diagnosis 521
Management 521
CLINICAL APPROACH TO GENETIC RISK ASSESSMENT FOR GASTROINTESTINAL CANCER RISK 522
REFERENCES 523
Molecular Detection of Gastrointestinal Neoplasia 529
Key points 529
INTRODUCTION 529
MECHANISMS, MEDIA, AND MARKERS 530
Whole Tumor Cells 530
Proteins 531
RNA 531
DNA 532
A GLIMPSE AT EMERGENT AND EXPERIMENTAL NEW MOLECULAR TOOLS FOR GASTROINTESTINAL CANCER SCREENING 532
Esophageal Cancer 532
Sponge-on-string device 532
Gastric Cancer 534
Gastric lavage 534
Pancreatic Cancer 534
Pancreatic juice 534
Cyst fluid 534
Blood 535
Stool 535
Hepatobiliary Cancers 535
Stricture brushing 535
Cancer screening 536
Colorectal Cancer 536
Multitarget stool DNA test 536
Stool DNA testing for dysplasia surveillance in inflammatory bowel disease 537
Blood 537
Universal Gastrointestinal Cancer Detection 537
SUMMARY 538
REFERENCES 538
The Role of the Microbiome in Gastrointestinal Cancer 543
Key points 543
INTRODUCTION 543
GASTRIC CANCER 544
HELICOBACTER PYLORI 544
BACTERIAL AND HOST FACTORS AFFECTING THE PROPENSITY TOWARD GASTRIC CANCER 544
THE STOMACH MICROBIOTA IN GASTRIC PATHOGENESIS 545
ANIMAL MODELS TO STUDY THE MICROBIOME AND GASTRIC CANCER 546
ESOPHAGEAL ADENOCARCINOMA AND THE MICROBIOME 547
COLORECTAL CANCER 547
THE MICROBIOME IN PATIENTS WITH COLONIC POLYPS OR COLORECTAL CANCER 548
DIET AND MICROBIAL METABOLITES 548
ANIMAL MODELS 552
SUMMARY 552
REFERENCES 553
Index 557