Haematuria in association with Lynch syndrome
- PMID: 24765440
- PMCID: PMC3981287
- DOI: 10.4081/cp.2012.e41
Haematuria in association with Lynch syndrome
Abstract
A 40-year-old Caucasian male presented to the Emergency Department complaining of intermittent painless frank haematuria. Past medical history was significant for Hereditary Non-Polyposis Colon Cancer (HNPCC) and a prophylactic total colectomy. Computed tomography urogram showed thickening in the posterior wall of the bladder. Cystoscopy showed a small bladder mass. Histology showed a papillary urothelial neoplasm of low malignant potential. HNPCC, also known as Lynch Syndrome, is an autosomal dominant disorder responsible for 3-5% of colorectal cancers. There are certain cancers known to be associated with HNPCC; colorectal cancer, endometrial, ovarian, stomach, pancreas, biliary tract, small bowel, brain, renal pelvic and ureteric tumours, sebaceous gland adenomas and keratocanthomas. An association with bladder tumours is not well established.
Keywords: colon cancer; hematuria; surgical oncology; urological cancer; urology..
Conflict of interest statement
Conflict of interest: the authors declare no potential conflicts of interest.
Figures
References
-
- Lynch HT, Boland CR, Gong G, et al. Phenotypic and genotypic heterogeneity in the Lynch syndrome: diagnostic, surveillance and management implications. Eur J Hum Genet. 2006;14:390–402. - PubMed
-
- Vasen HF, de Vos tot Nederveen Cappel WH. Cancer: Lynch syndrome -- how should colorectal cancer be managed? Nat Rev Gastroenterol Hepatol. 2011;8:184–6. - PubMed
-
- Papadopolous N, Lindblom A. Molecular basis of HNPCC: mutations of MMR genes. Hum Mutat. 1997;10:89–99. - PubMed
-
- Lindor NM, Petersen GM, Hadley DW, et al. Recommendations for the care of individuals with an inherited predisposition to Lynch syndrome: a systematic review. JAMA. 2006;296:1507–17. - PubMed
-
- Kawaoka T, Miyagawa Y, Tsujihata M, et al. [Two cases of bladder cancer with hereditary nonpolyposis colon cancer.] Hinyokika. 2011;57:319–21. [Article in Japanese] - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Miscellaneous
