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Research Original Investigation Chronic Sinusitis and Risk of Head and Neck Cancer in US Elderly Invited Commentary Elisabeth H. Ference, MD, MPH; Jeffrey D. Suh, MD Can the inflammation associated with chronic rhinosinusitis CI, 1.26-1.39) and Hodgkin lymphoma (aHR, 1.59; 95% CI, 1.26- (CRS) contribute to the development of head and neck 2.00) were also both associated with CRS. cancer, especially nasal cavity or paranasal sinus cancer? Or Distinguishing between short-term and long-term asso- is any association between CRS due to reverse causation be- ciations of sinusitis and cancer is critical because short-term cause nasal and sinus cancer can present initially with sinus- associations may be due to symptoms caused by a yet undis- itis symptoms? covered malignant neoplasm, whereas longer-term associa- Inflammatory insults in other areas of the body have a well- tions may better reflect the chronic effects of inflammation or established etiologic link with malignancy. For example, gas- immunosuppression on oncogenesis. Whereas nasal cavity and troesophageal reflux disease may lead to Barrett metaplasia and paranasal sinus cancers were found to have a weak but sig- esophageal cancer, and ulcerative colitis has been associated nificant longer-term association with CRS in the study by with colon cancer. The
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Jan 8, 2017
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