Skip to main content
Log in

Risk factors for small intestine cancer

  • Research Paper
  • Published:
Cancer Causes & Control Aims and scope Submit manuscript

Small intestine cancer is relatively rare. Clinical reports have suggested that several medical conditions may predispose to increased occurrence of this cancer, but otherwise its etiology is unknown. In one of the first case-control studies of this cancer, we compared questionnaire responses provided by next-of-kin of 430 persons who died of small intestine cancer cf921 controls who died of other causes. Subjects were identified from decedents included in the 1986 United States National Mortality Followback Survey. The questionnaires sought information on demographic and lifestyle characteristics, including diet and use of tobacco and alcohol. Tobacco and alcohol consumption were unrelated to risk of small intestine cancer, but weekly or more frequent consumption of red meat and monthly or more frequent intake of salt-cured/smoked foods were associated with two-to three fold increases in risk. The findings suggest that dietary factors probably are involved in risk of small intestine cancer, but additional research in other settings is required to clarify the determinants of these rare cancers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. American Cancer Society. Cancer Facts and Figures-1992. Atlanta, GA: ACS, 1992.

    Google Scholar 

  2. Weiss NS, Yang C-P. Incidence of histologic types of cancer of the small intestine. JNCI 1987; 78: 653–6.

    Google Scholar 

  3. Ross RK, Hartnett NM, Bernstein L, Henderson BE. Epidemiology of adenocarcinomas of the small intestine: is bile a small bowel carcinogen? Br J Cancer 1991; 63: 143–5.

    Google Scholar 

  4. Senay E, Sachar DB, Keohane M, Greenstein AJ. Small bowel carcinoma in Crohn's disease: distinguishing features and risk factors. Cancer 1989; 63: 360–3.

    Google Scholar 

  5. Lightdale CJ, Koepsell TD, Sherlock P. Small intestine. In: Schottenfeld D, Fraumeni JFJr, eds. Cancer Epidemiology and Prevention. Philadelphia. PA: WB Saunders, 1982.

    Google Scholar 

  6. Spigelman AD, Williams CB, Talbot IC, Domizio P, Phillips RKS. Upper gastrointestinal cancer in patients with familial adenomatous polyposis. Lancet 1989; 2: 783–5.

    Google Scholar 

  7. Swanson CM, Slavin G, Coles EC, Booth CC. Coeliac disease and malignancy. Lancet 1983: 1: 111–5.

    Google Scholar 

  8. Seeman I, Poe GS, McLaughlin JK. Design of the 1986 National Mortality Followback Survey: considerations on collecting data on decendents. Public Health Rep 1989; 104: 183–8.

    Google Scholar 

  9. Hsing AW, Hoover RN, McLaughlin JK, et al. Oral contraceptives and primary liver cancer among young women. Cancer Causes Control 1992; 3: 43–8.

    Google Scholar 

  10. World Health Organization International Classification of Diseases, Ninth Revision. Geneva: WHO, 1977.

    Google Scholar 

  11. Breslow NE, Day NE. Statistical Metbods in Cancer Researeb. Vol I. The Analysis of Case-Control Studies. Lyon, France: International Agency for Research on Cancer, 1980; IARC Sci. Pub. No. 32.

    Google Scholar 

  12. Lowenfels AB, Sonni A. Distribution of small bowel tumors. Cancer Letters 1977; 3: 83–6.

    Google Scholar 

  13. Howson CP, Hiyama T, Wynder EL. The decline in gastric cancer: epidemiology of an unplanned triumph. Epidemiol Rev 1986; 8: 1–27.

    Google Scholar 

  14. Willett WC, Stampfer MJ, Colditz GA, Rosner BA, Speizer FE. Relation of meat, fat, and fiber intake to the risk of colon cancer in a prospective study among women. N Engl J Med 1990; 323: 1664–72.

    Google Scholar 

  15. Lowenfels AB. Why are small-bowel tumours so rare? Lancet 1973; 1: 24–6.

    Google Scholar 

  16. Richards ME, Rickert RR, Nance FC. Crohn's diseaseassociated carcinoma. Ann Surg 1989; 209: 764–73.

    Google Scholar 

  17. Steinmetz KA, Potter JD. Vegetables, fruit, and cancer. L. Epidemiology. Cancer Causes Control 1991; 2: 325–57.

    Google Scholar 

  18. Block G, Patterson B, Subar A. Fruit, vegetables, and cancer prevention: A review of the epidemiological evidence. Nutr Cancer 1992; 18: 1–29.

    Google Scholar 

  19. Lyon JL, Egger MJ, Robison LM, French TK, Gao R. Misclassification of exposure in a case-control study: the effects of different types of exposure and different proxy respondents in a study of pancreatic cancer. Epidemiol 1992; 3: 223–31.

    Google Scholar 

  20. Percy C, Miller BA, Ries LAG. Effect of changes in cancer classification and the accuracy of cancer death certificates on trends in cancer mortality. Ann NY Acad Sci 1990; 609: 87–97.

    Google Scholar 

  21. McLaughlin JK, Mandel JS, Mehl ES, Blot WJ. Comparison of next-of-kin with self-respondents regarding questions on cigarette, coffee, and alcohol consumption. Epidemiology 1990; 1: 408–12.

    Google Scholar 

  22. Thorogood M, Vessey M. The reliability of surrogate information about oral contraceptive use, smoking, height and weight collected from men about their wives. Contraception 1989; 39: 401–8.

    Google Scholar 

  23. McLaughlin JK, Blot WJ, Mehl ES, Mandel JS. Problems in the use of dead controls in case-control studies. I. General results. Am J Epidemiol 1985; 121: 131–9.

    Google Scholar 

  24. McLaughlin JK, Blot WJ, Mehl ES, Mandel JS. Problems in the use of dead controls in case-control studies. II. Effect of excluding certain causes of death. Am J Epidemiol 1985; 122: 485–94.

    Google Scholar 

  25. Wacholder S, Silverman DT, McLaughlin JK, Mandel JS. Selection of controls in case-control studies. II. Types of controls. Am J Epidemiol 1992; 135: 1029–41.

    Google Scholar 

  26. McLaughlin JK, Hrubec Z, Blot WJ, Fraumeni JFJr. Stomach cancer and cigarette smoking among U.S. veterans, 1954–1980 [Letter]. Cancer Res 1990; 50: 3804.

    Google Scholar 

  27. Agudo A, Gonzalez CA, Marcos G, et al. Consumption of alcohol, coffee, and gastric cancer in Spain. Cancer Causes Control 1992; 3: 137–43.

    Google Scholar 

  28. Slattery ML, West DW, Robison LM, et al. Tobacco, alcohol, coffee, and caffeine as risk factors for colon cancer in a low-risk population. Epidemiology 1990; 1: 141–5.

    Google Scholar 

  29. Zahm SH, Cocco P, Blair A. Tobacco smoking as a risk factor for colon polyps. Am J Public Health 1991; 81: 846–9.

    Google Scholar 

  30. Longnecker MP, Orza MJ, Adams ME, Vioque J, Chalmers TC. A meta-analysis of alcoholic beverage consumption in relation to risk of colorectal cancer. Cancer Causes Control 1990; 1: 59–68.

    Google Scholar 

  31. International Agency for Research on Cancer. Tobacco Smoking. Lyon, France: IARC, 1985; IARC Monogr Eval Carcinog Risks Humans, Vol 38.

    Google Scholar 

  32. International Agency for Research on Cancer. Alcobol Drinking. Lyon, France: IARC, 1988; IARC Monogr Eval Carcinog Risks Humans, Vol 44.

    Google Scholar 

Download references

Authors

Additional information

Drs Chow, Linot, McLaughlin, Hsing, and Blot are with the Epidemiology and Biostatistics Program, US National Cancer Institute, Bethesda, MD, USA. Mr Co Chien is with Westat, Inc., Rockville, MD, USA. Address correspondence to Dr Chow, Epidemiology and Biostatistics Program, Division of Cancer Etiology, 6130 Executive Blvd, EPN Room 403, Rockville, MD 20852, USA.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chow, W.H., Linet, M.S., McLaughlin, J.K. et al. Risk factors for small intestine cancer. Cancer Causes Control 4, 163–169 (1993). https://doi.org/10.1007/BF00053158

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00053158

Key words

Navigation