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Widely available aspirin may help prevent cancer from coming back

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A familiar medicine found in countless homes is now being tested in an entirely new role. Scandinavian researchers suggest it may lower the risk of colorectal cancer returning – but only for a specific group of patients.

A common drug in a new light

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Aspirin has long been used to treat pain and fever, but scientists are now investigating its potential as a targeted cancer therapy.

A major cross-border effort

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More than 3,500 patients from hospitals in Denmark, Norway, Sweden, and Finland took part in the large study led by the Karolinska Institutet.

The mutation that matters

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Researchers focused on patients with changes in the PIK3 gene family, which regulates key processes in cell growth and signaling.

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Not a small minority

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Around 40 percent of colorectal cancer patients carry this mutation, making the findings highly relevant to a large patient group.

Clear effect on recurrence

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Those given aspirin daily for three years had up to a 55 percent lower risk of their cancer returning compared with the placebo group.

Affordable and widely available

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Unlike many modern cancer drugs, aspirin is inexpensive and easy to access worldwide, a significant advantage for healthcare systems.

How the effect might work

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Scientists believe the benefit may come from aspirin’s ability to reduce inflammation and block platelets, which play a role in tumor growth.

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Risks that can’t be ignored

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The drug can also bring side effects, including stomach issues and an increased tendency to bleed, which must be carefully monitored.

Patients who should avoid it

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Those with stomach ulcers, asthma, or bleeding disorders are advised against its use, and combining aspirin with blood thinners raises the risk even more.

A step toward personalized medicine

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The findings highlight how genetic information can be used to tailor treatments, helping reduce recurrence while lowering costs and suffering.

Questions for the future

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Although the exact molecular mechanisms remain unclear, researchers believe patients with PIK3 mutations may be the ones to benefit most.

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This article is based on information from the Illustreret Videnskab

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