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BENIGN AND MALIGNANT NEOPLASMS OF THE GASTROINTESTINAL TRACT IN PATIENTS WITH ACROMEGALY

Abstract

Acromegaly is a severe neuroendocrine disease caused by increased production of somatotropic hormone by adenohypophysis tumor. The somatotropic hormone is indirectly, via insulin-like growth factor-1, acts on all organs and systems of the body, causing a large number of complications, including those of the gastrointestinal tract. Numerous cases of diagnosing both benign and malignant neoplasms have been described in the literature in this group of patients. About 15% of patients with acromegaly die from cancer, especially colon cancer, which frequency varies from 2 to 14 times the increase in comparison with the general population. However, there is an extremely low amount of studies of the upper part of the digestive tract in patients with acromegaly. The article reflects the results of various domestic and foreign studies on the upper and lower divisions of the gastrointestinal tract of patients with acromegaly, malignant and benign neoplasms of the stomach and colon, diverticular disease in patients with acromegaly, as well as possible prerequisites for their development, based on the pathogenesis of the underlying disease.

About the Authors

A. A. Titaeva
Moscow regional scientific and clinical research Institute named after M. F. Vladimirsky
Russian Federation


E. A. Belousova
Moscow regional scientific and clinical research Institute named after M. F. Vladimirsky
Russian Federation


S. G. Tereshchenko
Moscow regional scientific and clinical research Institute named after M. F. Vladimirsky
Russian Federation


References

1. Beauregard C., Truong U., Hardy J. et al. Long- term outcome and mortality after transsphenoidal adenomectomy for acromegaly // J. Clin. Endocrinol.-2003. - Vol.58. - P. 86-91

2. Gibney J., Healy M., Sonksen P. The growth hormone/insulin-like growth factor-1 axis in exercise and sport // J. Endocr. Rev. - 2007. - Vol. - 28. - P. 603-624.

3. Melmed S., Casanueva F., Cavagnini F. et al. Consensus statement: medical management of acromegaly // Eur. J. Endocrinol. - 2005. - Vol.153. - P. 737-740.

4. Arosio M, Reimondo G, Malchiodi E, et. al. Italian Study Group of Acromegaly. Predictors of morbidity and mortality in acromegaly: an Italian survey. Eur J Endocrinol. 2012;167(2):189-98. doi: 10.1530/EJE-12-0084

5. Sherlock M, Ayuk J, Tomlinson J.W, et.al. Mortality in patients with pituitary disease. Endocr Rev. 2010;31(3):301-42.doi: 10.1210/er.2009-0033.

6. Wright A.D, Hill D.M, Lowy C, Fraser T.R. Mortality in acromegaly. Q J Med. 1970;39(153):1-16.

7. Loeper S, Ezzat S. Acromegaly: re-thinking the cancer risk. Rev Endocr Metab Disord. 2008;9(1):41-58. doi: 10.1007/s11154-007-9063-z.

8. Nabarro J.D. Acromegaly. Clin Endocrinol (Oxf).1987;26(4):481-512. doi: 10.1111/j.1365-2265.1987.tb00805.x.

9. Bengtsson B.A, Edén S, Ernest I, et.al. Epidemiology and long-term survival in acromegaly. A study of 166 cases di agnosed between 1955 and 1984. Acta Med Scand. 1988;223(4):327-35. doi: 10.1111/j.0954-6820.1988.tb15881.x.

10. Etxabe J, Gaztambide P, Latorre P, Vazquez J.A. Acromegaly: an epidemilogical study. J Endocrinol Invest. 1993;16(3):181-7. doi: 10.1007/BF03344942.

11. Bates A.S, Van’t Hoff W, Jones J.M, Clayton R.N. An audit of outcome of treatment in acromegaly. Q J Med. 1993;86(5):293-9. doi: http://dx.doi.org/293-299.

12. Rajasoorya C, Holdaway I.M, Wrightson P, et.al. Determinants of clinical outcome and survivial in acromegaly. Clin Endocrinol (Oxf). 1994;41(1):95-102. doi:10.1111/j.1365-2265.1994.tb03789.x

13. Melmed S.M. J Clin Endocrinol Metabol 2001; 86: 2929-2934; Mestrón A., Webb S. M. In: Endocrine Society. San Francisco 2002; abstract AACE Acromegaly Guidelines Task Force, AACE Medical Guidelines for Clinical Practice for the diagnosis and treatment of acromegaly.// Endocr. Pract. 2011; 10(3): 213-25

14. Дедов И. И., Молитвословова Н. Н., Рожинская Л. Я., Мельниченко Г. А. Федеральные клинические рекомендации по клинике, диагностике, дифференциальной диагностике и методам лечения aкромегалии.// Проблемы эндокринологии. - 2013. - Т. 59, N6. - С. 4

15. Baldvinsdottir T., Jonasson J. G., Thorsson A. V. Epidemiology of pituitary tumorous in Iceland 1955-2007: a Nationwide study. 10th European Congress of Endocrinology, 3-7 May, Berlin, Germany. Endocrine Abstracts 2008; 16: 315.

16. Bates A.S., Vant Hoff W., Jones J. M. Does treatment of acromegaly affect life expectancy? Metabolism 1995; 44: Suppl 1: 1-5

17. Baris D, Gridley G, Ron E, et al. Jr. Acromegaly and cancer risk: a cohort study in Sweden and Denmark. Cancer Causes Control. 2002;13(5):395-400. doi:10.1023/A:1015713732717

18. Brunner J.E, Johnson C.C, Zafar S, et.al. Colon cancer and polyps in acromegaly: increased risk associated with family history of colon cancer. Clin Endocrinol (Oxf). 1990;32(1):65-71. doi: 10.1111/j.1365-2265.1990.tb03751.x.

19. Mustacchi P, Shimkin M.B. Occurrence of cancer in acromegaly and in hypopituitarism.Cancer. 1957;10(1):100-4. doi: 10.1002/1097-0 1 4 2 (1 9 5 7 0 1 / 0 2) 1 0: 1 № 1 0 0:: A I D - C N -CR2820100113>3.0.CO;2-V

20. Klein I, Parveen G, Gavaler J.S, Vanthiel D.H. Colonic polyps in patients with acromegaly. Ann Intern Med. 1982;97(1):27-30. doi:10.7326/0003-4819-97-1-27

21. Ron E, Gridley G, Hrubec Z, et al. Jr. Acromegaly and gastrointestinal cancer. Cancer. 1991;68(8):1673-7.doi: 10.1002/1097-0142(19911015)68:8<1673: AID-CNCR2820680802>3.0.CO;2-0

22. Kurimoto M, Fukuda I, Hizuka N, Takano K. The prevalence of benign and malignant tumors in patients with acromegaly at a single institute. Endocr J. 2008;55(1):67-71. doi: http://doi.org/10.1507/endocrj.K07E-010

23. Rokkas T, Pistiolas D, Sechopoulos P, et al. Risk of colorectal neoplasm 42 in patients with acromegaly: a meta-analysis. World J Gastroenterol. 2008; 14: 3484-3489.

24. Attanasio R, Mainolfi A, Grimaldi F, et al. Somatostatin analogs and 43 gallstones: a retrospective survey on a large series of acromegalic patients. J Endocrinol Invest. 2008; 31: 704-710.

25. Cheng S., Gomez K., Serri O., et al. The role of diabetes in acromegaly associated neoplasia. PLoS One. 2015 May 21;10(5): e0127276. doi: 10.1371/journal.pone.0127276.eCollection 2015

26. Bolfi F., Miot H. A., Resende M., et al. Frequency of various types of neoplasia in a group of acromegalic patients. Arq Bras Endocrinol Metabol. 2013 Nov;57(8):612-6.

27. Kato K., Takeshita Y., Misu H., et al. Duodenal adenocarcinoma with neuroendocrine features in a patient with acromegaly and thyroid papillary adenocarcinoma: a unique combination of endocrine neoplasia. Endocr J. 2012;59(9):791-6. Epub 2012 May 31.

28. Dworakowska D., Gueorguiev M., Kelly P., et al. Repeated colonoscopic screening of patients with acromegaly: 15-year experience identifies those at risk of new colonic neoplasia and allows for effective screening guidelines. Eur J Endocrinol 2010; 163: 1: 21-28.

29. Олейник О.В, Молитвословова Н.Н. Потенциальные предикторы и частота выявления новообразований щитовидной железы и желудочно-кишечного тракта у пациентов с акромегалией. Проблемы эндокринологии. 2015;61(2):4-7. doi:10.14341/probl20156124-7

30. Wassenaar M.J, Cazemier M, Biermasz N.R, et al. Acromegaly is associated with an increased prevalence of colonic diverticula: a case-control study.// J Clin Endocrinol Metab, 2010, 95 (5): 2073-2079

31. Baserga R, Prisco M, Hongo A. IGFs and cell growth. In: Roberts C.T, Rosenfeld R.G, eds. The IGF system. Molecular biology, physiology, and clinical applications. Totowa, NJ: Humana Press;1999, 329-353

32. LeRoith D, Werner H, Beitner-Johnson D, Roberts Jr C.T. Molecular and cellular aspects of the insulin-like growth factor I receptor. Endocr Rev.1995.143-163

33. LeRoith D. Regulation of proliferation and apoptosis by the insulin-like growth factor I receptor. Growth Horm IGF Res.2000, 1:12-13

34. Ng S.T, Zhou J, Adesanya O.O, Wang J, et al. Growth hormone treatment induces mammary gland hyperplasia in aging primates.Nat Med. 1997, 3:1141-1144

35. Colao A, Ferone D, Marzullo P, et. al. Systemic complications of acromegaly: epidemiology, pathogenesis, and management.// Endocr Rev 2004 25: 102-152

36. Dutta P, Bhansali A, Vaiphei K, et al // Colonic neoplasia in acromegaly: increased proliferation or decreased apoptosis? Pituitary. 2012 Jun;15 (2):166-73


Review

For citations:


Titaeva A.A., Belousova E.A., Tereshchenko S.G. BENIGN AND MALIGNANT NEOPLASMS OF THE GASTROINTESTINAL TRACT IN PATIENTS WITH ACROMEGALY. Experimental and Clinical Gastroenterology. 2018;(6):94-97. (In Russ.)

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