Skip to main content

Hereditary Nonpolyposis Colorectal Cancer and Genetic Counseling

  • Chapter
Gastrointestinal Cancer

Part of the book series: M. D. Anderson Cancer Care Series ((MDCCS))

  • 899 Accesses

Abstract

Patients who present with suspected hereditary nonpolyposis colorectal cancer (HNPCC) require specialized counseling and treatment. The characteristics of HNPCC, the availability of genetic testing for HNPCC, and the potential implications of positive and negative test results must be discussed with patients and family members in detail. In patients who decide to proceed with genetic testing, results must be communicated in an appropriate manner, and follow-up is essential. Treatment for patients with colon cancer who are members of an HNPCC kindred must be individualized, but the treatment of choice is total abdominal colectomy with an ileorectal anastomosis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Suggested Readings

  • Aarnio M, Mecklin JP, Aaltonen L, et al. Life-time risk of different cancers in hereditary nonpolyposis colorectal cancer (HNPCC) syndrome. Int J Cancer 1995;64:430–433.

    Article  PubMed  CAS  Google Scholar 

  • Box JC, Rodriguez-Bigas MA, Weber TK, et al. The incidence and clinical implications of multiple colorectal carcinomas in hereditary nonpolyposis colorectal cancer. Dis Colon Rectum 1999;42:717–721.

    Article  PubMed  CAS  Google Scholar 

  • Burke W, Petersen GM, Lynch P, et al. Recommendations for follow-up care of individuals with an inherited predisposition to cancer: hereditary nonpolyposis colorectal cancer. JAMA 1997;277:915–919.

    Article  PubMed  CAS  Google Scholar 

  • International Collaborative Group on Hereditary Non-Polyposis Colorectal Cancer. Guidelines for management recommended by ICG-HNPCC. Available at http://www.nfdht.nl/. Accessed October 29, 2003.

  • Jass JR, Smyrk TC, Stewart SM, et al. Pathology of hereditary nonpolyposis colorectal cancer. Anticancer Res 1994;14:1631–1635.

    PubMed  CAS  Google Scholar 

  • Lindor N, Burgart LJ, Leontovich O, et al. Immunohistochemistry versus microsatellite instability testing in phenotyping colorectal tumors. J Clin Oncol 2002;20:1043–1048.

    Article  PubMed  CAS  Google Scholar 

  • Lu SL, Kawabata M, Imamura T, et al. HNPCC associated with germline mutation in the TGF-b type II receptor gene. Nat Genet 1998;19:17–18.

    Article  PubMed  CAS  Google Scholar 

  • Lynch HT, Albano WA, Ruma TA, et al. Surveillance/management of an obligate gene carrier: the cancer family syndrome. Gastroenterology 1983;84:404–408.

    PubMed  CAS  Google Scholar 

  • Lynch HT, de la Chapelle A. Genetic susceptibility to non-polyposis colorectal cancer. J Med Genet 1999;36:801–818.

    PubMed  CAS  Google Scholar 

  • Miyaki M, Konishi M, Tanaka K, et al. Germline mutation of MSH6 as the cause of hereditary nonpolyposis colorectal cancer. Nat Genet 1997;17:271–272.

    Article  PubMed  CAS  Google Scholar 

  • Salovaara R, Loukola A, Kristo P, et al. Population-based molecular detection of hereditary nonpolyposis colorectal cancer. J Clin Oncol 2000;18:2193–2200.

    PubMed  CAS  Google Scholar 

  • Vasen HFA, Mecklin JP, Meera Khan P, et al. The International Collaborative Group on Hereditary Non-Polyposis Colorectal Cancer (ICG-HNPCC). Dis Colon Rectum 1991;34:424–425.

    Article  PubMed  CAS  Google Scholar 

  • Vasen HFA, Watson P, Mecklin JP, et al. New criteria for hereditary nonpolyposis colorectal cancer (HNPCC, Lynch Syndrome) proposed by the International Collaborative Group on HNPCC (ICG-HNPCC). Gastroenterology 1999;116:1453–1456.

    Article  PubMed  CAS  Google Scholar 

  • Vasen HFA, Wijnen JTH, Menko FH, et al. Cancer risk in families with hereditary nonpolyposis colorectal cancer diagnosed by mutation analysis. Gastroenterology 1996;110:1020–1027.

    Article  PubMed  CAS  Google Scholar 

  • Watson P, Lin K, Rodriguez-Bigas MA, et al. Colorectal cancer survival in hereditary nonpolyposis colorectal cancer. Cancer 1998;83:259–266.

    Article  PubMed  CAS  Google Scholar 

  • Westlake PJ, Bryant HE, Huchcroft SA, et al. Frequency of hereditary nonpolyposis colorectal cancer in southern Alberta. Dig Dis Sci 1991;36:1441–1447.

    Article  PubMed  CAS  Google Scholar 

  • Wijnen J, de Leeuw W, Vasen H, et al. Familial endometrial cancer in female carriers of MSH6 germline mutations. Nat Genet 1999;23:142–144.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer Science+Business Media, Inc.

About this chapter

Cite this chapter

Rodriguez-Bigas, M.A., Lynch, P.M. (2005). Hereditary Nonpolyposis Colorectal Cancer and Genetic Counseling. In: Ajani, J.A., Lynch, P.M., Janjan, N.A., Curley, S.A. (eds) Gastrointestinal Cancer. M. D. Anderson Cancer Care Series. Springer, New York, NY. https://doi.org/10.1007/0-387-27285-2_8

Download citation

  • DOI: https://doi.org/10.1007/0-387-27285-2_8

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-22090-1

  • Online ISBN: 978-0-387-27285-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics