Review Article

Alleviating Promotion of Inflammation and Cancer Induced by Nonsteroidal Anti-Inflammatory Drugs

Table 1

Cancer risk development from NSAID use as recorded from various epidemiology studies.

Type of cancerAspirinTraditional nonaspirin NSAIDMore selective COX-2 inhibitor

Proximal No effect on risk [123]
Decreased risk in women [124]
Reduced risk [123]No data available (NDA)

Distal Decreased risk [123]
No effect in women [124]
Reduced risk [123]NDA

Decreased risk [123]
No effect in women [124]
No effect on risk [123]NDA

Nonmelanoma skin cancer (NMSC)Decreased risk for [133]
Slightly decreased risk for BCC SCC [134]
Decreased risk for BCC SCC [133]
Slightly decreased risk for BCC SCC [134]
Decreased risk for BCC SCC [133]
Stronger decreased risk for BCC SCC [134]

Melanoma skin cancer (MSC)Slightly decreased risk [133]Slightly decreased risk [133]No effect on risk [133]

Breast ER/PR (+)Highly increased risk by aspirin-only NSAID users [131]
No effect on risk [127]
No effect on risk by acetaminophen [131]Increased risk [131]
Decreased risk in HER2+ [127]

Breast ER/PR (−)Highly increased risk by aspirin-only NSAID users [131]
Increased risk [132]
No effect on risk by acetaminophen [131]Increased risk [131]
Decreased risk in HER2+ [127]

Brain gliomaNo effect on risk [144]No effect on risk [144]No effect on risk [144]

Brain meningiomaNo effect on risk [144]Slightly increased risk [144]Slight increased risk [144]

Hepatocellular Carcinoma (HCC)Decreases risk [142, 143]Decreases risk [142]Decreases risk [142]

Intrahepatic cholangiosarcoma (ICC)Decreases risk in men [142]
No effect on risk in women [142]
No effect on risk by ibuprofen [142]No effect on risk [142]

No effect on risk [138]Increased risk with acetaminophen, even stronger for metastatic type [138]Increased risk, even stronger for metastatic type [138]

Esophageal squamous cell carcinoma (ESCC)Decreased risk [135, 136]Slightly decreased risk [135, 136]Slightly decreased risk [135, 136]

Esophageal adenocarcinoma (EA)Decreased risk [135, 136]Slightly decreased risk [135, 136]Slightly decreased risk [135, 136]

Noncardia gastric carcinomaDecreased risk [135, 136]Slightly decreased risk [135, 136]Slightly decreased risk [135, 136]

Cardia gastric carcinomaNo effect on risk [135, 136]No effect on risk [135, 136]No effect on risk [135, 136]

locations are associated with gender, age, and race of patients [126]. indicates decreased risk in special subgroups of patients. predisposition may increase risk [139]. cell carcinoma. cell carcinoma.