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Familial Risk-Colorectal Cancer: ESMO Clinical Practice Guidelines
source: Annals of oncology
authors: Balmaña J, Balaguer F, Cervantes A, Arnold D, ESMO Guidelines Working Groupsummary/abstract:
Lynch syndrome is the most common hereditary colorectal cancer (CRC) syndrome and it accounts for ∼1%–3% of all CRC burden. The syndrome is transmitted with an autosomal-dominant pattern, and it is associated with mutations in the mismatch repair (MMR) genes, MLH1, MSH2, MSH6 and PMS2. These alterations lead to tumour DNA microsatellite instability (MSI) and foster inactivating mutations in tumour suppressors containing microsatellites in the coding regions (i.e. TGFBR2 and BAX) . Mutations in the MMR genes may lead to a loss of expression of the corresponding protein and be detected by immunohistochemistry techniques (IHCs).organization: Universitat Autònoma de Barcelona
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