The “unnatural” history of colorectal cancer in Lynch syndrome : lessons from colonoscopy surveillance
Year of publication
2021
Authors
Ahadova, Aysel; Seppälä, Toni T.; Engel, Christoph; Gallon, Richard; Burn, John; Holinski‐Feder, Elke; Steinke‐Lange, Verena; Möslein, Gabriela; Nielsen, Maartje; ten Broeke, Sanne; Laghi, Luigi; Dominguez‐Valentin, Mev; Capella, Gabriel; Macrae, Finlay; Scott, Rodney; Hüneburg, Robert; Nattermann, Jacob; Hoffmeister, Michael; Brenner, Hermann; Bläker, Hendrik; von Knebel Doeberit,z Magnus; Sampson, Julian R.; Vasen, Hans; Mecklin, Jukka‐Pekka; Møller, Pål; Kloor, Matthias
Show moreAbstract
Individuals with Lynch syndrome (LS), one of the most common inherited cancer syndromes, are at increased risk of developing malignancies, in particular colorectal cancer (CRC). Regular colonoscopy with polypectomy is recommended to reduce CRC risk in LS individuals. However, recent independent studies demonstrated that a substantial proportion of LS individuals develop CRC despite regular colonoscopy. The reasons for this surprising observation confirmed by large prospective studies are a matter of debate. In this review, we collect existing evidence from clinical, epidemiological and molecular studies and interpret them with regard to the origins and progression of LS‐associated CRC. Alongside with hypotheses addressing colonoscopy quality and pace of progression from adenoma to cancer, we discuss the role of alternative precursors and of immune system in LS‐associated CRC. We also identify gaps in current knowledge and make suggestions for future studies aiming at improved CRC prevention for LS individuals.
Show moreOrganizations and authors
University of Helsinki
Seppälä Toni T.
University of Jyväskylä
Mecklin Jukka-Pekka
Kuopio University Hospital Catchment Area
Mecklin Jukka-Pekka
Helsinki University Hospital Catchment Area
Seppälä Toni T.
Publication type
Publication format
Article
Parent publication type
Journal
Article type
Review article
Audience
ScientificPeer-reviewed
Peer-ReviewedMINEDU's publication type classification code
A2 Review article, Literature review, Systematic reviewPublication channel information
Journal
Parent publication name
Volume
148
Issue
4
Pages
800-811
ISSN
Publication forum
Publication forum level
2
Open access
Open access in the publisher’s service
Yes
Open access of publication channel
Partially open publication channel
Self-archived
Yes
Other information
Fields of science
Cancers
Keywords
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Publication country
United States
Internationality of the publisher
International
Language
English
International co-publication
Yes
Co-publication with a company
No
DOI
10.1002/ijc.33224
The publication is included in the Ministry of Education and Culture’s Publication data collection
Yes