The genetic basis of Lynch syndrome and its implications for clinical practice and risk management
- PMID: 25161364
- PMCID: PMC4142571
- DOI: 10.2147/TACG.S51483
The genetic basis of Lynch syndrome and its implications for clinical practice and risk management
Abstract
Lynch syndrome is the most common cause of hereditary colon cancer, and accounts for as much as 3% of all colon and endometrial cancers. The identification and management of individuals with Lynch syndrome have evolved over the past 20 years, yet the syndrome remains vastly underdiagnosed. It is important for clinicians to recognize individuals and families who are at risk in order to be able to manage them appropriately and reduce their morbidity and mortality from this condition. This review will touch on the history of Lynch syndrome, the current knowledge of genotype-phenotype correlations, the cancers associated with Lynch syndrome, and management of individuals who are gene carriers.
Keywords: Lynch syndrome; hereditary cancer; hereditary nonpolyposis colorectal cancer; immunohistochemistry; microsatellite instability; mismatch repair; mismatch repair genes.
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References
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- Weissman S, Burt R, Church J, et al. Identification of individuals at risk for Lynch syndrome using targeted evaluations and genetic testing: National Society of Genetic Counselors and the Collaborative Group of the Americas on Inherited Colorectal Cancer Joint Practice Guideline. J Genet Couns. 2012;21(4):484–493. - PubMed
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- Vasen H, Mecklin JP, Khan PM, Lynch HT. The International Collaborative Group on Hereditary Non-Polyposis Colorectal Cancer (ICG-HNPCC) Dis Colon Rectum. 1991;34(5):424–425. - PubMed
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