Abstract:
The purpose of the present study was to determine the prevalence of intestinal helminths and protozoa in colorectal cancer (CRC)
patients and to evaluate the possible association between the prevalence and CRC pathogenesis. A total of 200 CRC patients and
200 residents of Tashkent, who had no complaints related to the gastrointestinal tract, were examined by triple coproscopy using a
concentration method and estimations of protozoan infection intensity. Of the CRC patients tested, 144 were classified as
T1-4N0M0 (without metastases) and 56 were classified as T1–4N1–2M0–1 (with metastases). Parasitological examination was
performed during CRC diagnosis before and after surgery and chemotherapy. A significantly higher prevalence of Blastocystis
sp., Chilomastix mesnili, Jodamoeba butschlii, and Endolimax nana was found in CRC patients than in the control population
(p < 0.0001), amounting to 80, 20, 22.5, and 11.5%, respectively. The high prevalence of Blastocystis sp., as well as the patterns
of infection intensity, was stable at all stages of examination. The ratio of the number of CRC patients with and without
Blastocystis sp. in the T1–4N0M0 and T1–4N1–2M0–1 groups amounted to 3.3 and 7.0, respectively. The ratios for C. mesnili,
E. coli, J. butschlii, and E. nana in both groups were 0.2 and 0.2, 0.07 and 0.07, 0.3 and 0.16, and 0.18 and 0.01, respectively. The
prevalence of helminths and Giardia lamblia in CRC patients and the control population was not significantly different. Taken
together, these data indicate a possible role for Blastocystis sp. in CRC pathogenesis. Diagnosis, treatment, and further observation
of patients with Blastocystis sp. are necessary at all stages of CRC, including during diagnosis and before and after surgery
and chemotherapy.
