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2008, Number 1

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Rev Med Hosp Gen Mex 2008; 71 (1)

Hereditary nonpolyposis colorectal cancer (Lynch syndrome). Eight cases of autopsy in the Hospital General de México

Hop GK, Carrera GE, González FV, Pérez EJ, Soriano RJ
Full text How to cite this article

Language: Spanish
References: 31
Page: 26-31
PDF size: 181.83 Kb.


Key words:

Colorectal carcinoma, Lynch syndrome.

ABSTRACT

Hereditary nonpolyposis colorectal cancer (HNPCC)was described in the 60’s by Henry T. Lynch and represent 3 to 5% of colon cancer; 70% of all families with the disease have mutations of germinal lineage and mismatch repair system (MMR) and 90% have microsatellite instability. It is associated with cancer in other sites, like gastric, endometrium, pancreatic, ovary and skin. The diagnosis must be done before 45 years old; no sex predilection has been observed and affect more frequently proximal colon and rectum. The clinical manifestations are the same than in usual colon cancer. We report 8 cases of hereditary nonpolyposis colorectal cancer in autopsy material seen in a 9 years period review; that represent 0.1% of all autopsy material during this period. Five female and 3 male, the mild age was 32.8 years old, 6 cases were located in left colon including rectum, and 2 cases in right colon. All cases have first or second degree relatives with carcinoma.


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Rev Med Hosp Gen Mex. 2008;71