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Inicio Gastroenterología y Hepatología Genética del cáncer colorrectal
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Vol. 35. Núm. S1.
Jornada de Actualización en Gastroenterología Aplicada
Páginas 74-79 (septiembre 2012)
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Vol. 35. Núm. S1.
Jornada de Actualización en Gastroenterología Aplicada
Páginas 74-79 (septiembre 2012)
Acceso a texto completo
Genética del cáncer colorrectal
Genetics of colorectal cancer
Visitas
2344
Francesc Balaguer
Servicio de Gastroenterología, Hospital Clínic, Barcelona, España
Este artículo ha recibido
Información del artículo
Resumen

El cáncer colorrectal (CCR) es una de las neoplasias más frecuentes en los países desarrollados, y hasta un 5% de todos los casos ocurre en el contexto de un síndrome hereditario. Estas formas hereditarias demandan, en muchas ocasiones, un alto grado de sospecha para su diagnóstico, y requieren de un manejo específico y especializado. Además, el diagnóstico del CCR hereditario tiene importantes consecuencias no sólo para el paciente, para el que hay medidas de prevención altamente efectivas, sino también para los familiares, que pueden ser portadores de la misma condición. Los avances más significativos en el campo del CCR hereditario se han producido en el diagnóstico y caracterización del síndrome de Lynch y el síndrome de poliposis serrada.

Palabras clave:
Cáncer colorrectal hereditario
Síndrome de Lynch
Síndrome de poliposis hiperplásica
Poliposis serrada
Pólipo serrado
Poliposis asociada a MUTYH
Abstract

Colorectal cancer (CRC) is one of the most frequent neoplasms in developed countries and up to 5% of all cases occur in the context of a hereditary syndrome. These hereditary forms often require a high index of suspicion for their diagnosis and specific and specialized management. Moreover, a diagnosis of hereditary CRC has major consequences not only for the patient –for whom there are highly effective preventive measures– but also for the patient's relatives, who may carry the same condition. The most significant advances in the field of hereditary CRC have been produced in the diagnosis and characterization of Lynch's syndrome and serrated polyposis syndrome.

Keywords:
Hereditary colorectal cancer
Lynch's syndrome
Hyperplastic polyposis syndrome
Serrated polyposis
Serrated polyp
MUTYH-associated polyposis
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Bibliografía
[1.]
V. Pinol, A. Castells, M. Andreu, S. Castellvi-Bel, C. Alenda, X. Llor, et al.
Accuracy of revised Bethesda guidelines, microsatellite instability, and immunohistochemistry for the identification of patients with hereditary nonpolyposis colorectal cancer.
Jama, 293 (2005), pp. 1986-1994
[2.]
H.T. Lynch, C.R. Boland, G. Gong, T.G. Shaw, P.M. Lynch, R. Fodde, et al.
Phenotypic and genotypic heterogeneity in the Lynch syndrome: diagnostic, surveillance and management implications.
Eur J Hum Genet, 14 (2006), pp. 390-402
[3.]
C.R. Boland, S.N. Thibodeau, S.R. Hamilton, D. Sidransky, J.R. Eshleman, R.W. Burt, et al.
A National Cancer Institute Workshop on Microsatellite Instability for cancer detection and familial predisposition: development of international criteria for the determination of microsatellite instability in colorectal cancer.
Cancer Res, 58 (1998), pp. 5248-5257
[4.]
J.M. Cunningham, E.R. Christensen, D.J. Tester, C.Y. Kim, P.C. Roche, L.J. Burgart, et al.
Hypermethylation of the hMLH1 promoter in colon cancer with microsatellite instability.
Cancer Res, 58 (1998), pp. 3455-3460
[5.]
S. Grover, E.M. Stoffel, L. Bussone, E. Tschoegl, S. Syngal.
Physician assessment of family cancer history and referral for genetic evaluation in colorectal cancer patients.
Clin Gastroenterol Hepatol, 2 (2004), pp. 813-819
[6.]
C.R. Boland, M. Shike.
Report from the Jerusalem workshop on Lynch syndrome-hereditary nonpolyposis colorectal cancer.
Gastroenterology, 138 (2010), pp. 2197
[7.]
N.M. Lindor, K. Rabe, G.M. Petersen, R. Haile, G. Casey, J. Baron, et al.
Lower cancer incidence in Amsterdam-I criteria families without mismatch repair deficiency: familial colorectal cancer type X.
Jama, 293 (2005), pp. 1979-1985
[8.]
H.J. Jarvinen, M. Aarnio, H. Mustonen, K. Aktan-Collan, L.A. Aaltonen, P. Peltomaki, et al.
Controlled 15-year trial on screening for colorectal cancer in families with hereditary nonpolyposis colorectal cancer.
Gastroenterology, 118 (2000), pp. 829-834
[9.]
S. Parry, A.K. Win, B. Parry, F.A. Macrae, L.C. Gurrin, J.M. Church, et al.
Metachronous colorectal cancer risk for mismatch repair gene mutation carriers: the advantage of more extensive colon surgery.
[10.]
M. Adelson, P. Risby, J. East, K. Monahan.
Lynch syndrome: application of the revised Bethesda guidelines in clinical practice.
Gastroenterology, 142 (2012),
[11.]
L. Moreira, F. Balaguer, N. Lindor, A. De la Chapelle, H. Hampel, L. Aaltonen, et al.
Strategy for the identification of Lynch syndrome in colorectal cancer patients: results from an international, multicenter, population-based, pooled-data analysis.
Gastroenterology, 142 (2012),
[12.]
J.E. East, N. Suzuki, M. Stavrinidis, T. Guenther, H.J. Thomas, B.P. Saunders.
Narrow band imaging for colonoscopic surveillance in hereditary non-polyposis colorectal cancer.
[13.]
R. Huneburg, F. Lammert, C. Rabe, N. Rahner, P. Kahl, R. Buttner, et al.
Chromocolonoscopy detects more adenomas than white light colonoscopy or narrow band imaging colonoscopy in hereditary nonpolyposis colorectal cancer screening.
Endoscopy, 41 (2009), pp. 316-322
[14.]
T. Lecomte, C. Cellier, T. Meatchi, J.P. Barbier, P.H. Cugnenc, R. Jian, et al.
Chromoendoscopic colonoscopy for detecting preneoplastic lesions in hereditary nonpolyposis colorectal cancer syndrome.
Clin Gastroenterol Hepatol, 3 (2005), pp. 897-902
[15.]
E.M. Stoffel, D.K. Turgeon, D.H. Stockwell, L. Zhao, D.P. Normolle, M.K. Tuck, et al.
Missed adenomas during colonoscopic surveillance in individuals with Lynch Syndrome (hereditary nonpolyposis colorectal cancer).
Cancer Prev Res (Phila), 1 (2008), pp. 470-475
[16.]
R. Bisschops, S. Tejpar, H. Willekens, G. De Hertogh, E. Van Cutsem.
I-SCAN detects more polyps in Lynch syndrome (HNPCC) patients: a prospective controlled randomized Back to-Back study.
Gastroenterology, 142 (2012),
[17.]
F. Balaguer, A. Castells.
Hyperplastic polyps: are they completely innocent?.
Curr Colorectal Cancer Rep, 7 (2011), pp. 42-49
[18.]
M.J. O’Brien.
Hyperplastic and serrated polyps of the colorectum.
Gastroenterol Clin North Am, 36 (2007), pp. 947-968
[19.]
K.S. Boparai, E.M. Mathus-Vliegen, J.J. Koornstra, F.M. Nagengast, M. Van Leerdam, C.J. Van Noesel, et al.
Increased colorectal cancer risk during follow-up in patients with hyperplastic polyposis syndrome: a multicentre cohort study.
Gut, 59 (2010), pp. 1094-1100
[20.]
K.S. Boparai, J.B. Reitsma, V. Lemmens, T.A. Van Os, E.M. Mathus-Vliegen, J.J. Koornstra, et al.
Increased colorectal cancer risk in first-degree relatives of patients with hyperplastic polyposis syndrome.
Gut, 59 (2010), pp. 1222-1225
[21.]
A. Rashid, P.S. Houlihan, S. Booker, G.M. Petersen, F.M. Giardiello, S.R. Hamilton.
Phenotypic and molecular characteristics of hyperplastic polyposis.
Gastroenterology, 119 (2000), pp. 323-332
[22.]
A. Ferrández, W. Samowitz, J.A. DiSario, R.W. Burt.
Phenotypic characteristics and risk of cancer development in hyperplastic polyposis: case series and literature review.
Am J Gastroenterol, 99 (2004), pp. 2012-2018
[23.]
D.K. Rex, D.J. Ahnen, J.A. Baron, K.P. Batts, C.A. Burke, R.W. Burt, et al.
Serrated lesions of the colorectum: review and recommendations from an expert panel.
Am J Gastroenterol, 142 (2012),
[24.]
K.C. Vemulapalli, D.K. Rex.
Failure to recognize serrated polyposis syndrome in a cohort with large sessile colorectal polyps.
Gastroenterology, 142 (2012),
[25.]
Y. Hazewinkel, K.M. Tytgat, S. Van Eeden, P. Fockens, E. Dekker.
Feasibility and efficacy of a prospective annual surveillance protocol in serrated polyposis syndrome patients: 2 year follow up results.
Gastroenterology, 142 (2012),
[26.]
Y. Hazewinkel, J.J. Koornstra, K.S. Boparai, T.A. Van Os, K.M. Tytgat, P. Fockens, et al.
High adenoma detection rate in first degree relatives of patients with serrated polyposis syndrome: a prospective study.
Gastroenterology, 142 (2012),
[27.]
A.E. Van der Meulen-de Jong, H. Morreau, M.C. Becx, L.F. Crobach, M. Van Haastert, W.R. Ten Hove, et al.
High detection rate of adenomas in familial colorectal cancer.
[28.]
Y. Hazewinkel, J. Reitsma, J.J. Koornstra, F. Nagengast, M. Van Leerdam, T.A. Van Os, et al.
The risk of non-colorectal malignancies in serrated polyposis syndrome patients and their firstdegree relatives.
Gastroenterology, 142 (2012),
[29.]
K.W. Jasperson, T.M. Tuohy, D.W. Neklason, R.W. Burt.
Hereditary and familial colon cancer.
Gastroenterology, 138 (2010), pp. 2044-2058
[30.]
F. Balaguer, S. Castellvi-Bel, A. Castells, M. Andreu, J. Muñoz, J.P. Gisbert, et al.
Identification of MYH mutation carriers in colorectal cancer: a multicenter, case-control, populationbased study.
Clin Gastroenterol Hepatol, 5 (2007), pp. 379-387
[31.]
C. Guarinos, M. Juárez-Quesada, R. Salas-Rico, L. Pérez-Carbonell, M. Rodríguez-Soler, J. Cubiella, et al.
Diagnosis of MYH associated polyposis in patients with multiple colonic polyps.
Gastroenterology, 142 (2012),
Copyright © 2012. Elsevier España, S.L.. Todos los derechos reservados
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