Hereditary Cancer in Clinical Practice


This article is part of the supplement: Proceedings of the 13th Annual Meeting of the Collaborative Group of the Americas on Inherited Colorectal Cancer

Open Access Poster presentation

Colorectal cancer risk in patients with inflammatory bowel disease and Lynch syndrome

Melyssa Aronson*, Joanne Stempak, Mark Silverberg, Kara Semotiuk, Robert Gryfe and Steven Gallinger

Author Affiliations

Dr. Zane Cohen Digestive Disease Clinical Research Centre, Mount Sinai Hospital, Toronto, Ontario, Canada

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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.