"Many Americans take aspirin to lower their risk of heart disease but a new study suggests a remarkable added benefit reporting that patients who took aspirin regularly for a period of several years were  percent less likely decades later to die of solid tumor httphealth.nytimes.comhealthguidesdiseasetumoroverview.htmlinlinenytclassifier cancers including cancers of the stomach esophagus and lung. As part of the new study http published online Monday in the journal Lancet researchers examined the cancer httphealth.nytimes.comhealthguidesdiseasecanceroverview.htmlinlinenytclassifier death rates of  patients who had participated in eight different randomized controlled trials of aspirin that ended up to  years earlier. Participants who had been assigned to the aspirin arms of the studies were  percent less likely after  years to have died of solid tumor cancers than those who had been in the comparison group taking dummy pills during the clinical trials and their risk of gastrointestinal cancer death was  percent lower. The risk of lung cancer death was  percent lower the risk of colorectal cancer httphealth.nytimes.comhealthguidesdiseasecoloncanceroverview.htmlinlinenytclassifier death was  percent lower and the risk of esophageal cancer httphealth.nytimes.comhealthguidesdiseaseesophagealcanceroverview.htmlinlinenytclassifier death was  percent lower the study reported. The specific dose of aspirin taken did not seem to matter  most trials gave out low doses of  to  milligrams  but the participants in the longest lasting trials had the most drastic reductions in cancer death years later. This is important as a proof of principle that a single simple compound like aspirin can reduce the risk of cancer substantially said the studys lead author Dr. Peter M. Rothwell professor of neurology at the University of Oxford. Theres been a lot of work over the years showing that certain compounds can increase the risk of cancer but its not been shown before that we can reduce the risk with something as simple as aspirin. But even as some experts hailed the new study as a breakthrough others urged caution warning people not to start a regimen of aspirin without first consulting a doctor about the potential risks including gastrointestinal bleeding httphealth.nytimes.comhealthguidessymptomsgastrointestinalbleedingoverview.htmlinlinenytclassifier and bleeding in the brain hemorrhagic strokes. Many people may wonder if they should start taking daily aspirin but it would be premature to recommend people starting taking aspirin specifically to prevent cancer said Eric J. Jacobs an epidemiologist with the American Cancer Society httptopics.nytimes.comtopreferencetimestopicsorganizationsaamerican_cancer_societyindex.htmlinlinenytorg. While Dr. Jacobs said the study design was valid relatively few women were included in the trials making it difficult to generalize the results to women. Its hard to assess effects on mortality from just one study he said. The findings do not come entirely as a surprise Dr. Rothwell said because aspirin has been found to slow or prevent the growth of tumor cell lines in the laboratory. Observational studies have reported that people who took aspirin were at lower risk for colorectal cancer recurrences while other studies have pointed to similar reductions in cancers of the lung stomach and esophagus. There have been hints of this before but the quality of this study is the gold standard because it is based on randomized clinical trials said Dr. Alan A. Arslan an assistant professor of obstetrics and gynecology and environmental medicine at New York University School of Medicine who did an observational study several years ago reporting that women who had taken aspirin regularly had a lower risk of ovarian cancer httphealth.nytimes.comhealthguidesdiseaseovariancanceroverview.htmlinlinenytclassifier. Randomized controlled trials carry more weight. The strong results add to the accumulating evidence that aspirin may be protective against various cancers Dr. Arslan said. There are several ways in which aspirin may work to slow the development of cancers experts say. Inflammation may play a role in cancer and aspirin blocks the synthesis of prostaglandins which are mediators of inflammation and may affect early tumor promotion. Aspirin may also induce the death of early cancer cells before they become aggressive Dr. Arslan suggested."