Genetic identification and management of hereditary nonpolyposis colorectal cancer.

Abstract:

:Hereditary nonpolyposis colorectal cancer (HNPCC) is a syndrome involving a predisposition to cancers of the colon, endometrium and several other extra-colonic sites, accounting for approximately 1-5% of all colorectal cancer cases. It is not easily recognized because of a lack of distinctive clinical markers, making diagnosis and management of this disease problematic. To provide a basis for uniformity in diagnosis of HNPCC, the Amsterdam criteria were proposed and are currently in use. More recently, the discovery of four human mismatch repair genes (hMSH2, hMLH1, hPMS1 and hPMS2) has provided novel insight into the genetic basis of this disease, and raised the possibility of genetic diagnosis for management of HNPCC patients and their family members. This report summarizes the clinicopathologic aspects of HNPCC, reviews the recent genetic findings and surveillance strategies, and suggests a novel designation of certain patients as suspected HNPCC.

journal_name

Int J Oncol

authors

Park JG,Yuan Y

doi

10.3892/ijo.12.4.947

subject

Has Abstract

pub_date

1998-04-01 00:00:00

pages

947-55

issue

4

eissn

1019-6439

issn

1791-2423

journal_volume

12

pub_type

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