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Hereditary Colorectal Cancer pp 175–194Cite as

The Pathologist and the Phenotype of Hereditary Colorectal Cancer

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Part of the book series: M.D. Anderson Solid Tumor Oncology Series ((MDA,volume 5))

Abstract

The aim of this review is not to provide a morphological description of each form of colorectal cancer family syndrome. The aim is to explain to a readership that is mainly from a non-pathology background why, when faced with a tissue sample or surgical specimen, it is extremely difficult to extract information that is comprehensive and maximizes the potential for informing the clinical and basic science researcher as well as guiding clinical management. The usual description of a colorectal tumor focuses on its histogenetic type. However, the microscopic appearances of polyps and cancers in cancer family syndromes frequently differ from the appearances of their sporadic counterparts. Even before considering these differences, it is necessary to deconstruct the formal description of biopsied or resected surgical specimens into its basic elements. With respect to polyps, the parameters in question include size, macroscopic appearances, number, anatomic location, and even the synthesis of findings accumulating over time. In critically analyzing these parameters, including the mechanisms underlying their marked phenotypic variation, the full scale of task faced by the pathologist is brought into focus.

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Authors and Affiliations

  1. Department of Cellular Pathology, St Mark’s Hospital & Imperial College, Wartford Road, Harrow, Middlesex, HA1 3UJ, London, UK

    Jeremy R. Jass

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Editors and Affiliations

  1. M.D. Anderson Cancer Center, Surgical Oncology, The University of Texas, Holcombe Blvd. 1515, Houston, 77030, Texas, USA

    Miguel A. Rodriguez-Bigas

  2. Associate Professor of Surgery, Brazilian Registry of Inherited, Colorec, University of São Paulo Medical School, Sao Paulo, Brazil

    Raul Cutait

  3. M.D. Anderson Cancer Center, Gastroenterology, The University of Texas, Houston, 77030, Texas, USA

    Patrick M. Lynch

  4. Cancer Research UK London Research Insti, Molecular and Population Genetics Labora, London, United Kingdom

    Ian Tomlinson

  5. Medical Center, Gastroenterology, Leiden University, Leiden, 2333 AA, Netherlands

    Hans F.A. Vasen

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Jass, J.R. (2010). The Pathologist and the Phenotype of Hereditary Colorectal Cancer. In: Rodriguez-Bigas, M., Cutait, R., Lynch, P., Tomlinson, I., Vasen, H. (eds) Hereditary Colorectal Cancer. M.D. Anderson Solid Tumor Oncology Series, vol 5. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-6603-2_9

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