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Collaborative research by Glasgow University explores impact on high-risk features, disease stage, tumor characteristics, and systemic inflammatory response in colorectal cancer patients from screening vs. non-screening cohorts. Informative study results and conclusions provided.
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The Impact of Colorectal Cancer Screening – Initial Results Mr Michael Proctor, MD Research Fellow, Academic Unit of Surgery, Royal Infirmary, University of Glasgow.
The Impact of Colorectal Cancer Screening • Collaboration • Glasgow University Department of Surgery, Royal Infirmary • Department of Clinical Pathology, Royal Infirmary • Public Health Screening Unit, Greater Glasgow and Clyde • Aims to investigate the impact on high risk features • Disease stage1 • Tumour pathological characteristics 2 • Host systemic inflammatory response3 • Patients • Greater Glasgow and Clyde Bowel Screening detected cancers (SD) • Glasgow Royal Infirmary non-screen detected cancer cohort (NSD) (1) Dukes , J Path 1932. (2) Petersen et al., Gut 2002. (3) Proctor et al., BJC 2011.
Screen Detected Cancer Stage National Cancer Intelligence Network, 2009.
Tumour Site Right Sided SD - 30% NSD - 40% Left Sided SD - 48% NSD - 24% Rectal SD - 22% NSD - 36%
Tumour and Nodal Stage P <0.001 P=0.414
Conclusion • Bowel screening results in improved host and tumour related prognostic factors when compared to a non-screen detected cohort.