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A risk factor
is anything that affects your chance of getting a disease such as
cancer. For example, exposure to strong sunlight is a risk factor for
skin cancer, while smoking is a risk factor for cancer of the lung, and
several other cancers. But risk factors don't tell us everything.
Someone without any known risk factors can still develop cancer. And
someone can have a risk factor, but still not get the disease. Only a
few risk factors for GI carcinoid tumors are known, such as:
Genetic syndromes
Multiple
endocrine neoplasia, type I: This is a rare condition
caused by inherited defects in the gene MEN1. People with
this syndrome have a very high risk of getting tumors of 3 glands: the
pituitary, parathyroid, and pancreas. They also have an increased risk
of carcinoid tumors. Some studies estimate that inherited mutations of
the MEN1
gene are responsible for about 10% of carcinoid tumors. Most of these
are gastric (stomach) carcinoids. Children have a 50/50 chance of
inheriting this syndrome from an affected parent.
If your family is affected by the MEN1 syndrome, you might
want to talk to your doctor about the pros and cons of getting tested
for it. Although the gene that causes tumors in people with the MEN1
syndrome has been found, genetic testing for MEN1 is only available in
a few places at this time. Because the test is not always 100%
accurate, it is important that the test is done along with genetic
counseling to help make sense of the results.
Neurofibromatosis
type 1. This disease often runs in families and is
characterized by many neurofibromas
(benign tumors that form in nerves under the skin and in other parts of
the body). It is caused by defects in the gene NF1. Some people
with this condition also develop neuroendocrine tumors of the small
intestines.
Race and gender
Carcinoid tumors are more common among African Americans than
whites. Outcomes are also not as good for African Americans.
Researchers do not yet know why. Carcinoid tumors are also slightly
more common in women than men.
Other stomach conditions
People with certain diseases that damage the stomach and
reduce the amount of acid it makes have a greater risk of developing
stomach carcinoid tumors, but their risk for carcinoid tumors of other
organs is not affected.
Factors with uncertain or unproven effects
Smoking
Smoking may double the risk of getting a carcinoid tumor of
the small intestine, according to a recent European study. But further
research is needed to confirm this.
Diet
Risk of developing GI carcinoid tumors does not appear to be
increased or decreased by any specific foods.
Last Medical Review: 06/19/2009 Last Revised: 06/19/2009
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