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Screening high-risk populations for colon and rectal cancers
Authors:Mark A. Healy MD  MSc  Selvi Thirumurthi MD  MS  Y. Nancy You MD  MHSc
Affiliation:1. Department of Surgical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas;2. Department of Gastroenterology, Hepatology, and Nutrition, University of Texas MD Anderson Cancer Center, Houston, Texas

Clinical Cancer Genetics Program, University of Texas MD Anderson Cancer Center, Houston, Texas

Abstract:Currently, colorectal cancers accounted for the second-highest number of cancer deaths in the US. Hereditary syndromes, strong family history, and inflammatory bowel disease are all conditions that confer predisposition risks. In hereditary syndromes, screening must be more frequent and start earlier. With familial risk, screening should depend on the age of cancer onset and number of affected relatives. For inflammatory bowel disease, surveillance should depend on duration, severity, and extent of colitis.
Keywords:adenomatous polyposis coli  APC  colonic neoplasms  early detection  genes  hereditary nonpolyposis  rectal neoplasms  screening
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