Hereditary Colorectal Polyposis and Cancer Syndromes: A Primer on Diagnosis and Management

作者:Kanth Priyanka; Grimmett Jade; Champine Marjan; Burt Randall; Samadder N Jewel
来源:American Journal of Gastroenterology, 2017, 112(10): 1509-1525.
DOI:10.1038/ajg.2017.212

摘要

Colorectal cancer (CRC) is the fourth most common cancer amongst men and women. Between 3 and 6% of all CRCs are attributed to well-defined inherited syndromes, including Lynch syndrome, familial adenomatous polyposis (FAP), MUTYH-associated polyposis (MAP), and several hamartomatous polyposis conditions. Identification of these patients through family history and appropriate genetic testing can provide estimates of cancer risk that inform appropriate cancer screening, surveillance and/or preventative interventions. This narrative review examines the hereditary colorectal cancer and polyposis syndromes, their genetic basis, clinical management, and evidence supporting cancer screening.

  • 出版日期2017-10