Working through a diagnostic challenge: colonic polyposis, Amsterdam criteria, and a mismatch repair mutation

The two most common causes of hereditary colorectal cancer are Lynch syndrome and familial adenomatous polyposis (FAP). The phenotype of Lynch syndrome, also known as hereditary nonpolyposis colorectal cancer (HNPCC), is differentiated in part from FAP by the lack of profuse colonic polyposis. Here...

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Veröffentlicht in:Familial cancer 2008-12, Vol.7 (4), p.281-285
Hauptverfasser: Jasperson, Kory W., Blazer, Kathleen R., Lowstuter, Katrina, Weitzel, Jeffrey N.
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container_end_page 285
container_issue 4
container_start_page 281
container_title Familial cancer
container_volume 7
creator Jasperson, Kory W.
Blazer, Kathleen R.
Lowstuter, Katrina
Weitzel, Jeffrey N.
description The two most common causes of hereditary colorectal cancer are Lynch syndrome and familial adenomatous polyposis (FAP). The phenotype of Lynch syndrome, also known as hereditary nonpolyposis colorectal cancer (HNPCC), is differentiated in part from FAP by the lack of profuse colonic polyposis. Here we describe a proband who presented with greater than 50 adenomatous colonic polyps prior to developing cancer of the colon and urinary bladder, and a family history that fulfills the Amsterdam criteria. Germline analyses of APC and MYH in the proband did not reveal any mutations. Comprehensive analysis of the mismatch repair genes associated with Lynch syndrome revealed a germline hMSH6 missense mutation 2314C>T (arg772trp) and normal sequencing for hMSH2 and hMLH1 . We outline evidence supporting the pathogenicity of the identified hMSH6 mutation (arg772trp) and suggest possible etiologies for the unexplained colonic adenomatous polyposis.
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subjects Adenocarcinoma - diagnosis
Adenocarcinoma - genetics
Adenomatous Polyposis Coli - complications
Adenomatous Polyposis Coli - genetics
Biomedical and Life Sciences
Biomedicine
Cancer Research
Carcinoma, Transitional Cell - diagnosis
Carcinoma, Transitional Cell - genetics
Colonic Neoplasms - genetics
Colorectal Neoplasms, Hereditary Nonpolyposis - diagnosis
Colorectal Neoplasms, Hereditary Nonpolyposis - genetics
DNA-Binding Proteins
Epidemiology
Female
Genes, APC
Germ-Line Mutation
Human Genetics
Humans
Middle Aged
Neoplasms, Multiple Primary - genetics
Pedigree
Phenotype
Urinary Bladder Neoplasms - genetics
title Working through a diagnostic challenge: colonic polyposis, Amsterdam criteria, and a mismatch repair mutation
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