Extensive molecular screening for hereditary non-polyposis colorectal cancer
2000

Molecular Screening for Colorectal Cancer

Sample size: 34 publication Evidence: moderate

Author Information

Author(s): Dieumegard B, Grandjouan S, Sabourin J-C, Bihan M-L Le, Lefrère I, Bellefqih, Pignon J-P, Rougier P, Lasser P, Bénard J, Couturier D, Bressac-de Paillerets B

Primary Institution: Institut Gustave Roussy

Hypothesis

Can simple tests on tumors help identify candidates for genetic analysis in hereditary non-polyposis colorectal cancer?

Conclusion

Simple tests on tumor samples can help distinguish between hereditary and sporadic cases of colorectal cancer.

Supporting Evidence

  • 88% of HNPCC cases showed microsatellite instability.
  • 53% of HNPCC cases had pathogenic germline mutations.
  • All early-onset sporadic cases were microsatellite stable.

Takeaway

Doctors can use tests on tumor samples to figure out if someone has a family history of colorectal cancer or if it's just a one-time thing.

Methodology

The study involved testing tumor samples for microsatellite instability and specific protein expressions.

Participant Demographics

Included HNPCC kindreds, families not meeting criteria, and sporadic cases diagnosed before age 50.

Digital Object Identifier (DOI)

10.1054/bjoc.1999.1014

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