title: [The effects of family history of colorectal cancer on the development of colorectal adenoma].
abstract: OBJECTIVE
  Early detection of polyp is important for the prevention of colorectal cancer (CRC). There have been few studies to investigate the relationship between colorectal adenoma and family history of CRC (FHCRC) in Korea. The aim of this study was to identify the relationship between colorectal adenoma and FHCRC.
  
  
  METHODS
  Between March 2009 and September 2010, 225 patients with adenomatous polyps were included. Their medical records with clinical history and size, numbers, histology of polyps were reviewed. Immunohistochemical staining using Bcl-2, Bax, p-AKT, NF-κB, and β-catenin antibodies were performed. We compared the histology of adenoma and expression of immunohistochemical staining according to the existence of FHCRC.
  
  
  RESULTS
  The incidence of colorectal adenoma increased in case of FHCRC (p=0.029). In patients with FHCRC, the mean age of patients was 49 years old and younger than patients without FHCRC. In addition in patients with FHCRC, the incidence of advanced adenoma was significantly higher than in patients without FHCRC (p=0.001). The expression of Bax was significantly lower in patients with FHCRC than without FHCRC (p=0.046).
  
  
  CONCLUSIONS
  There was a tendency for polyp to develop in their younger ages and to be more advanced adenomas in patients with FHCRC. The low expression of Bax, tumor suppressor gene, might be associated with the development of polyps in patient with FHCRC. Therefore, patients with FHCRC may be better to start screening colonoscopy earlier than patient without FHCRC.
authors: Department of Internal Medicine, Seoul National University Boramae Hospital, Seoul 156-707, Korea.
authors: Min Young
authors: MY
authors: Choi
authors: Byeong Gwan
authors: BG
authors: Kim
authors: Ji Won
authors: JW
authors: Kim
authors: Kook Lae
authors: KL
authors: Lee
authors: Ji Bong
authors: JB
authors: Jeong
authors: Jae Kyung
authors: JK
authors: Lee
authors: Yong Jin
authors: YJ
authors: Jung
authors: Won
authors: W
authors: Kim
authors: Dong Won
authors: DW
authors: Ahn
authors: Young Hoon
authors: YH
authors: Kim
authors: Sae Kyung
authors: SK
authors: Joo
authors: Mee Soo
authors: MS
authors: Chang
authors: Hyeoung Ju
authors: HJ
authors: Kwon
mesh_terms: D000236:Adenoma / Q000175:diagnosis* / Q000453:epidemiology / Q000378:metabolism; D000328:Adult; D000367:Age Factors; D000368:Aged; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000378:metabolism; D005192:Family Health; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D015994:Incidence; D008297:Male; D008875:Middle Aged; D051057:Proto-Oncogene Proteins c-akt / Q000378:metabolism; D019253:Proto-Oncogene Proteins c-bcl-2 / Q000378:metabolism; D012189:Retrospective Studies; D012307:Risk Factors; D051996:Transcription Factor RelA / Q000378:metabolism; D051028:bcl-2-Associated X Protein / Q000378:metabolism; D051176:beta Catenin / Q000378:metabolism
chemical_list: D019253:Proto-Oncogene Proteins c-bcl-2; D051996:Transcription Factor RelA; D051028:bcl-2-Associated X Protein; D051176:beta Catenin; D051057:Proto-Oncogene Proteins c-akt