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=== Autoimmune diseases === There is an association between [[celiac disease]] and an increased risk of all cancers. People with untreated celiac disease have a higher risk, but this risk decreases with time after diagnosis and strict treatment. This may be due to the adoption of a [[gluten-free diet]], which seems to have a protective role against the development of malignancy in people with celiac disease. However, the delay in diagnosis and initiation of a gluten-free diet seems to increase the risk of malignancies.<ref name="pmid26402826">{{cite journal |vauthors=Han Y, Chen W, Li P, Ye J |title=Association Between Coeliac Disease and Risk of Any Malignancy and Gastrointestinal Malignancy: A Meta-Analysis |journal=Medicine |volume=94 |issue=38 |pages=e1612 |date=September 2015 |pmid=26402826 |pmc=4635766 |doi=10.1097/MD.0000000000001612}}</ref> Rates of gastrointestinal cancers are increased in people with [[Crohn's disease]] and [[ulcerative colitis]], due to chronic inflammation. [[immunotherapy|Immunomodulators]] and [[biological therapy for inflammatory bowel disease|biologic agents]] used to treat these diseases may promote the development of extra-intestinal malignancies.<ref>{{cite journal |vauthors=Axelrad JE, Lichtiger S, Yajnik V |title=Inflammatory bowel disease and cancer: The role of inflammation, immunosuppression, and cancer treatment |journal=World Journal of Gastroenterology |volume=22 |issue=20 |pages=4794β801 |date=May 2016 |pmid=27239106 |pmc=4873872 |doi=10.3748/wjg.v22.i20.4794 |doi-access=free }}</ref>
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