This article is part of the supplement: Proceedings of the 13th Annual Meeting of the Collaborative Group of the Americas on Inherited Colorectal Cancer
Colorectal cancer risk in patients with inflammatory bowel disease and Lynch syndrome
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* Corresponding author: Melyssa Aronson maronson@mtsinai.on.ca
Dr. Zane Cohen Digestive Disease Clinical Research Centre, Mount Sinai Hospital, Toronto, Ontario, Canada
Hereditary Cancer in Clinical Practice 2010, 8(Suppl 1):P1 doi:10.1186/1897-4287-8-S1-P1
The electronic version of this article is the complete one and can be found online at: http://www.hccpjournal.com/content/8/S1/P1
| Published: | 25 May 2010 |
© 2010 Aronson et al; licensee BioMed Central Ltd.
Background
Chronic inflammatory bowel disease (IBD) and Lynch syndrome (LS) are associated with an increased risk for developing colorectal cancer (CRC). After 8-10 years of pan-ulcerative colitis (DC), the risk of CRC is 2%, increasing by 0.5-1.0% annually. LS has been associated with a 60-80% lifetime risk of CRC. It is unclear whether individuals diagnosed with both IBD and LS would have a cumulative risk or earlier age of onset of CRC based on their diagnoses.
Method
Patients with IBD and a germline mismatch repair gene (MMR) mutation were identified through the Familial Gastrointestinal Cancer Registry at Mount Sinai Hospital in Toronto, Canada. Information on their IBD diagnosis, colorectal screening/surgery, medication use, family history and genetic test results were collected (Table 1).
Results
Five of 329 (1.5%) individuals with germline MMR mutations reported having a history of IBD.
Conclusions
Concurrent IBD and LS did not appear to predispose to early-onset CRC in our small case series.