Genetic/familial high-risk assessment: Colorectal version 1.2016: Clinical practice guidelines in oncology

Dawn Provenzale, Samir Gupta, Dennis J. Ahnen, Travis Bray, Jamie A. Cannon, Gregory Cooper, Donald S. David, Dayna S. Early, Deborah Erwin, James M. Ford, Francis M. Giardiello, William Grady, Amy L. Halverson, Stanley R. Hamilton, Heather Hampel, Mohammad K. Ismail, Jason B. Klapman, David W. Larson, Audrey J. Lazenby, Patrick M. LynchRobert J. Mayer, Reid M. Ness, Scott E. Regenbogen, Niloy Jewel Samadder, Moshe Shike, Gideon Steinbach, David Weinberg, Mary Dwyer, Susan Darlow

Research output: Contribution to journalArticlepeer-review

159 Scopus citations

Abstract

This is a focused update highlighting the most current NCCN Guidelines for diagnosis and management of Lynch syndrome. Lynch syndrome is the most common cause of hereditary colorectal cancer, usually resulting from a germline mutation in 1 of 4 DNA mismatch repair genes (MLH1, MSH2, MSH6, or PMS2), or deletions in the EPCAM promoter. Patients with Lynch syndrome are at an increased lifetime risk, compared with the general population, for colorectal cancer, endometrial cancer, and other cancers, including of the stomach and ovary. As of 2016, the panel recommends screening all patients with colorectal cancer for Lynch syndrome and provides recommendations for surveillance for early detection and prevention of Lynch syndrome-associated cancers.

Original languageEnglish
Pages (from-to)1010-1030
Number of pages21
JournalJournal of the National Comprehensive Cancer Network : JNCCN
Volume14
Issue number8
DOIs
StatePublished - Aug 1 2016

Keywords

  • Colorectal Neoplasms, Hereditary Nonpolyposis/diagnosis
  • Colorectal Neoplasms/diagnosis
  • Disease Management
  • Early Detection of Cancer/methods
  • Germ-Line Mutation
  • Humans
  • Population Surveillance
  • Risk Assessment

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