Pituitary & hypothalamus

Acromegaly and the risk of cancer: a nationwide population-based cohort study in Korea

Eur J EndocrinolPublished Population-based cohort study

Main finding · Overall cancerResult — go to the resultHazard ratio 1.90 95% CI 1.63–2.22

Authors' conclusion

This nationwide longitudinal cohort study shows an increased risk of cancer in patients with acromegaly Active and long-term cancer screening is necessary in patients with acromegaly.

Study context

Population
Patients with acromegaly and controls aged above 20, Korea, 2006 to 2016
Participants
2,382 vs 11,910
Exposure
Acromegaly vs controls
  • Acromegalyn = 2,382
  • Controlsn = 11,910reference
Outcome
Overall and site-specific cancer risk
Methodological detailsnationwide, longitudinal
  • Nationwide
  • Longitudinal

Main finding

Overall cancer

Hazard ratio

1.90

95% CI 1.63–2.22

Events by group

Acromegalyvs Controls
HR 1.90 (95% CI 1.63–2.22)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Brain cancerHighest relative risk6.80 (2.83–16.38)

Other site-specific cancers

Significantly higher risk of lymphoma, thyroid cancer, multiple myeloma, pancreatic cancer and colorectal cancer with acromegaly

Cancer by follow-up duration · ≥5 years

Significantly higher cancer incidence persisted even 5 years after acromegaly diagnosis

Cancer by age and sex

Overall cancer risk, particularly stomach cancer, significantly higher in patients <50 years vs older patients
No significant difference between sexes

Original publication

Acromegaly and the risk of cancer: a nationwide population-based cohort study in Korea. Eur J Endocrinol. Published 5 March 2025. doi:10.1093/ejendo/lvaf029

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