Hereditary nonpolyposis colorectal cancer classification: Difference between revisions

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{{Hereditary nonpolyposis colorectal cancer}}
{{Hereditary nonpolyposis colorectal cancer}}
{{CMG}}{{AE}}{{MV}}
{{CMG}}{{AE}}{{MV}}{{Akram}}
==Overview==
==Overview==
Hereditary nonpolyposis colorectal cancer may be classified into 2 types: ''Lynch syndrome I'' (familial colon cancer) and ''Lynch syndrome II'' (hereditary nonpolyposis colorectal cancer associated with other cancers of the gastrointestinal tract or [[reproductive system]]).<ref name="wiki"> Hereditary nonpolyposis colorectal cancer. Wikipedia. https://en.wikipedia.org/wiki/Hereditary_nonpolyposis_colorectal_cancer Accessed on December 01, 2015 </ref> Other variants, such as Muir-Torre syndrome and Turcot syndrome are considered subtypes of hereditary nonpolyposis colorectal cancer.<ref name="pmid1648437">{{cite journal |vauthors=Lynch HT, Lanspa S, Smyrk T, Boman B, Watson P, Lynch J |title=Hereditary nonpolyposis colorectal cancer (Lynch syndromes I & II). Genetics, pathology, natural history, and cancer control, Part I |journal=Cancer Genet. Cytogenet. |volume=53 |issue=2 |pages=143–60 |year=1991 |pmid=1648437 |doi= |url=}}</ref>
Hereditary nonpolyposis colorectal cancer may be [[Classification|classified]] into 2 types: Lynch syndrome I (familial [[Colorectal cancer|colon cancer]]) and Lynch syndrome II (hereditary nonpolyposis colorectal cancer associated with other [[cancers]]). Other variants such as Muir-Torre syndrome and Turcot syndrome are considered subtypes of hereditary nonpolyposis colorectal cancer.


==Classification==
==Classification==
Lynch syndrome I (familial colon cancer) and Lynch syndrome II (hereditary nonpolyposis colorectal cancer associated with other cancers of the gastrointestinal tract or reproductive system).<ref name="pmid1648437">{{cite journal |vauthors=Lynch HT, Lanspa S, Smyrk T, Boman B, Watson P, Lynch J |title=Hereditary nonpolyposis colorectal cancer (Lynch syndromes I & II). Genetics, pathology, natural history, and cancer control, Part I |journal=Cancer Genet. Cytogenet. |volume=53 |issue=2 |pages=143–60 |year=1991 |pmid=1648437 |doi= |url=}}</ref>
===Lynch Syndrome I ===
 
* Site-specific [[Colon cancer|colonic cancer]].
===Lynch Syndrome I (Familial Colon Cancer)===
* Site-specific colonic cancer
===Lynch Syndrome II===
===Lynch Syndrome II===
* Extracolonic cancer
* Includes [[Colon|extracolonic]] [[cancer]].
* Includes extracolonic cancer, particularly carcinoma of the stomach, endometrium
* The most common [[cancer]] that develops among such [[Patient|patients]] is [[endometrial carcinoma]].
* The most common cancer that develop among such patients is endometrial carcinoma


===Variants===
===Variants===


'''Muir–Torre syndrome'''<ref name=radiopedia1> Muir-Torre syndrome. Dr Frank Gaillard et al.http://radiopaedia.org/articles/muir-torre-syndrome Radiopaedia 2015.</ref>
'''Muir–Torre Syndrome'''<ref name="pmid26527831">{{cite journal| author=Mintsoulis D, Beecker J| title=Muir-Torre syndrome. | journal=CMAJ | year= 2016 | volume= 188 | issue= 5 | pages= E95 | pmid=26527831 | doi=10.1503/cmaj.150171 | pmc=4786404 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26527831  }} </ref><ref name="pmid26892655">{{cite journal| author=John AM, Schwartz RA| title=Muir-Torre syndrome (MTS): An update and approach to diagnosis and management. | journal=J Am Acad Dermatol | year= 2016 | volume= 74 | issue= 3 | pages= 558-66 | pmid=26892655 | doi=10.1016/j.jaad.2015.09.074 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26892655  }} </ref><ref name="pmid28256262">{{cite journal| author=Velter C, Caussade P, Fricker JP, Cribier B| title=[Muir-Torre syndrome and Turcot syndrome]. | journal=Ann Dermatol Venereol | year= 2017 | volume= 144 | issue= 8-9 | pages= 525-529 | pmid=28256262 | doi=10.1016/j.annder.2017.01.017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28256262  }} </ref>
::*Is a rare hereditary, [[autosomal dominant]] [[cancer]] syndrome
::*Hereditary [[autosomal dominant]] syndrome.
::*Considered a subtype of [[HNPCC]]
::*Considered a subtype of [[Hereditary nonpolyposis colorectal cancer|hereditary nonpolyposis colorectal cancer.]]  
::*Individuals are prone to develop cancers of the colon, breast, and genitourinary tract, and skin lesions, such as [[keratoacanthoma]]s and sebaceous tumors
::*Affected individuals are prone to develop [[Cancer|cancers]] of the [[Colon Cancer|colon]], [[Breast cancer|breast]], and [[genitourinary tract]] along with [[skin lesions]] such as [[keratoacanthoma]]s and [[sebaceous]] [[tumors]].
::*Genes affected are [[MLH1]], [[MSH2]], and more recently, MSH6, and are involved in [[DNA mismatch repair]]
::*[[Genes]] affected are [[MLH1]], [[MSH2]], and [[MSH6]], which are involved in the [[DNA mismatch repair]].


'''Turcot syndrome'''<ref name=radiopedia> Turcot syndrome. Dr Henry Knipe and Dr Frank Gaillard et al.http://radiopaedia.org/articles/turcot-syndrome Radiopaedia 2015. </ref>
'''Turcot Syndrome'''<ref name="pmid28256262">{{cite journal| author=Velter C, Caussade P, Fricker JP, Cribier B| title=[Muir-Torre syndrome and Turcot syndrome]. | journal=Ann Dermatol Venereol | year= 2017 | volume= 144 | issue= 8-9 | pages= 525-529 | pmid=28256262 | doi=10.1016/j.annder.2017.01.017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28256262  }} </ref><ref name="pmid23119205">{{cite journal| author=Dipro S, Al-Otaibi F, Alzahrani A, Ulhaq A, Al Shail E| title=Turcot syndrome: a synchronous clinical presentation of glioblastoma multiforme and adenocarcinoma of the colon. | journal=Case Rep Oncol Med | year= 2012 | volume= 2012 | issue=  | pages= 720273 | pmid=23119205 | doi=10.1155/2012/720273 | pmc=3479943 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23119205  }} </ref>
::*Is a very rare hereditary [[autosomal recessive]] syndrome
::*[[Heredity|Hereditary]] [[autosomal recessive]] [[syndrome]].
::*Considered a subtype of [[HNPCC]]
::*Considered a sub-type of hereditary nonpolyposis colorectal cancer.
::*Individuals are prone to develop intestinal polyposis
::*Individuals are prone to develop [[Intestine|intestinal]] [[Polyp|polyposis]] in addition to [[Brain tumor|CNS tumors]] such as [[glioblastoma]] or [[medulloblastoma]].
::*Related to CNS tumors: most commonly glioblastoma or medulloblastoma
::*Two-thirds of patients have mutations in the APC gene


==References==
==References==
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Latest revision as of 14:52, 30 April 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]Ali Akram, M.B.B.S.[3]

Overview

Hereditary nonpolyposis colorectal cancer may be classified into 2 types: Lynch syndrome I (familial colon cancer) and Lynch syndrome II (hereditary nonpolyposis colorectal cancer associated with other cancers). Other variants such as Muir-Torre syndrome and Turcot syndrome are considered subtypes of hereditary nonpolyposis colorectal cancer.

Classification

Lynch Syndrome I

Lynch Syndrome II

Variants

Muir–Torre Syndrome[1][2][3]

Turcot Syndrome[3][4]

References

  1. Mintsoulis D, Beecker J (2016). "Muir-Torre syndrome". CMAJ. 188 (5): E95. doi:10.1503/cmaj.150171. PMC 4786404. PMID 26527831.
  2. John AM, Schwartz RA (2016). "Muir-Torre syndrome (MTS): An update and approach to diagnosis and management". J Am Acad Dermatol. 74 (3): 558–66. doi:10.1016/j.jaad.2015.09.074. PMID 26892655.
  3. 3.0 3.1 Velter C, Caussade P, Fricker JP, Cribier B (2017). "[Muir-Torre syndrome and Turcot syndrome]". Ann Dermatol Venereol. 144 (8–9): 525–529. doi:10.1016/j.annder.2017.01.017. PMID 28256262.
  4. Dipro S, Al-Otaibi F, Alzahrani A, Ulhaq A, Al Shail E (2012). "Turcot syndrome: a synchronous clinical presentation of glioblastoma multiforme and adenocarcinoma of the colon". Case Rep Oncol Med. 2012: 720273. doi:10.1155/2012/720273. PMC 3479943. PMID 23119205.


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