Re: lichen sclerosus et atrophicus and colorectal ca
From: Anna Meenan, MD (annam@uic.edu)
Fri Dec 8 16:23:12 2000
Interestingly enough, my mother who has lichen sclerosis et atrophicus
also has had multiple colon polyps removed, and we have quite a strong
family history of colon polyps now (my mother, her father and brother,
and now my sister), but I'm not sure that a series of 5 is enough to
make a syndrome out of this correlation. Has anybody seen anything in
the literature on this? I haven't.
--
Anna Meenan (planning colonoscopy after the holidays due to recent
change in family history. Can't wait. NOT!)
At Fri, 08 Dec 2000, sanbonav@tin.it wrote:
>
>In my clinical experience the last four women I found with lichen
>sclerosus et atrophicus had a correlation with gastrointestinal cancer .
>(Honestly previously I didn't pay attention to those facts)
>Two had lichen sclerosus et atrophicus and later a colon-rectal cancer,and two
>had a familiarity positive for colon rectal cancer.
>What shocked me was a women with rectal cancer who told me the complete
>disappearance of vulvar itching she had for years, after radiation
>therapy.I suspect that lichen sclerosus and atrophicus and unexplained
>vulvar itching can also be considered like a kind of carcinoid syndrome of
>gastrointestinal cancer or disease(release of Histamine like substances?)
>So ,when I see a woman with unexplained vulvar itching or lichen sclerosus
>et atrophicus I have decided to ask (as screening):
>1)about family history of gastrointestinal cancer or disease
>2)CEA (CarcinoEmbryonic Antigen)plasmatic marker (used for colonrettal
>cancer screening)
>3)fecal occult blood test
>Then I suggest a ipoallergenic ,low fat ,fibres rich diet (preventive
>medicine)
>Obviously if suspect of colon rectal cancer is strong I ask specific
>examinations
>(more invasive and more expensive)
>Hope this helps.
>Emilio Porro Ob&Gyn M.D.
>Como-Italy
>
>At 23.52 05/12/00 -0600, you wrote:
>>I also talk with all of my patients approaching 50 or over 50 about
>>colorectal screening as well as anyone with a family hx of colon cancer as
>>they may need it earlier depending on the age at which their family member
>>
>>I'm curious to know if patients in the private sector are given a choice of
>>
>>In the HMO I'm in, patients without fam hx or +FOBT cannot get a colonoscopy
>>and more and more patients are realizing that things can be missed on the
>>flex sig and aren't happy that they don't have a choice...
>>Caryn Rybczynski M.D.
>>
>>In a message dated 12/5/00 4:46:46 PM Pacific Standard Time,
>>ob-gyn-l@obgyn.net writes:
>>
>>I strongly recommend colon cancer screening to all of my patients over
>> I don't know about your experiences, but probably only 20-30%
>> ACOG's recommendation does not correlate completely with what I
>> The big
>>selling point for colonoscopy rather than sigmoidoscopy is that if it is
>>normal, fecal occult blood tests do not have to be obtained in the
>>intervening years and it has to be done every 10 years rather than every
>> The purpose of the fecal occult blood is to check for the
>>"higher lesions" that may have been missed by only looking partially at
>>the colon.
>>
>Porro Emilio
>Ob-Gyn.M.D.
>Via Zezio 69
>22100 COMO (Alessandro Volta City)
>ITALY
>phone:031/30 21 46
>e-mail:
>sanbonav@tin.it
>sanbonav@hotmail.com
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