Surgical management of hereditary colorectal cancer: Surgery based on molecular analysis and family history

José Perea García, I. Justo, E. Álvaro, M. Lomas, J. Díaz Tasende, J. C. Marín, A. Franco, F. Colina, Y. Rodríguez, J. Martínez, L. Robles, M. Urioste, M. Hidalgo

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

The importance of colorectal cancer (CRC) is increasing. A proportion show a hereditary component, as in Lynch syndrome and Familial Adenomatous Polyposis, and a recently defined entity as well, namely, Familial Colorectal Cancer type X. The high probability to develop CRC in these groups may, at the time of recognition, change surgical management, including its timing or even the surgical technique. In some cases prophylactic surgery can play an important role. The possibility of using tools that allow recognition of the aforementioned syndromes, including microsatellite instability, immunohistochemistry for DNA mismatch repair system proteins, and especially their mutations, is on the basis of therapeutic strategies that differ from those employed in sporadic CRC cases.

Original languageEnglish (US)
Pages (from-to)536-540
Number of pages5
JournalRevista Espanola de Enfermedades Digestivas
Volume101
Issue number8
StatePublished - Aug 2009
Externally publishedYes

Keywords

  • Colorectal cancer
  • Familial adenomatous polyposis
  • Familial colorectal cancer type X
  • Lynch syndrome
  • Surgery

ASJC Scopus subject areas

  • Gastroenterology

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