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Hereditary non-polyposis colorectal cancer: clinical and molecular evidence for a new entity of hereditary colorectal cancer

Background: Hereditary non-polyposis colorectal cancer (HNPCC) is clinically defined by familial clustering of colorectal cancer and other associated tumours. Methods: By thorough molecular and clinical evaluation of 41 families, two different groups were characterised: group 1, 25 families with tru...

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Published in:Gut 2005-12, Vol.54 (12), p.1733-1740
Main Authors: Mueller-Koch, Y, Vogelsang, H, Kopp, R, Lohse, P, Keller, G, Aust, D, Muders, M, Gross, M, Daum, J, Schiemann, U, Grabowski, M, Scholz, M, Kerker, B, Becker, I, Henke, G, Holinski-Feder, E
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Language:English
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Summary:Background: Hereditary non-polyposis colorectal cancer (HNPCC) is clinically defined by familial clustering of colorectal cancer and other associated tumours. Methods: By thorough molecular and clinical evaluation of 41 families, two different groups were characterised: group 1, 25 families with truncating mutations in MLH1 or MSH2 (12 novel mutations); and group 2, 16 Amsterdam positive families without mutations in these genes and without microsatellite instability in their corresponding tumours. Results: Significant clinical differences between these two groups were found. Firstly, earlier age of onset for all colorectal cancers (median 41 v 55 years; p
ISSN:0017-5749
1468-3288
1458-3288
DOI:10.1136/gut.2004.060905