A Hereditary Colorectal Cancer Clinic

Think you have a strong family history of bowel cancer?

Do you know if anyone in your family has had bowel (also known as colorectal) cancer or any other kind of cancer? Talk to your family and make sure you all know your family history.   This would for example be particularly important for those people with a history of bowel cancer diagnosis under age 50 years, or with 2 people in their family affected with bowel cancer.

If you think you have a strong family history of bowel cancer, you should make an appointment with your GP to talk about your concerns. If your GP agrees with you, they can refer you to a specialist family history of bowel cancer clinic at West Middlesex University Hospital. The specialist will go through your family history with you in great detail and ask you to provide accurate information about who has been affected, how old they were when they were diagnosed, and the site where their cancer developed. You may also have to have blood tests as part of this investigation.

You will talk about what types of screening they would recommend, at what age you (and/or other family members) should start being screened and how often you should be screened. Regular screening will ensure that any signs of bowel changes and early cancer are spotted and treated quickly.  You can also discuss other ways to reduce your risk through your lifestyle.

Who we are

Dr Kevin Monahan (Service lead) spent 3 years working at Cancer Research UK where I completed my PhD in cancer genetics with funding from the Bobby Moore Fund for Bowel Cancer Research.  I worked in the Family Cancer Clinic at St Mark’s Hospital in Harrow during this time. I work with Dr Iain Beveridge, Dr Carole Collins, Dr Joel Mawdsley and Dr Krishna Sundaram in the Gastroenterology Department and other colleagues at West Middlesex University Hospital. We are now part of Chelsea and Westminster Hospitals NHS Trust.

Athalie Melville is a Genetic Counsellor from the North West Thames Regional Genetics Service.  She also sees patient before they have genetic testing.

The other members of the team are from the Departments of Gastroenterology, Endoscopy, Colorectal Surgery and Cancer Services at West Middlesex University Hospital, part of Chelsea and Westminster Hospitals NHS Trust.


7 thoughts on “About the Clinic

  1. This is incredibly good. I was shocked to find this info so well put together, definitely going to post this on facebook so the husband can find it. Cheers!

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  4. Hello, I’m Alyssa from the blog, Learning to Live By Defying the Odds. Right now I’m working with the Familial Adenomatous Polyposis Foundation, helping them plan a hereditary colon cancer (HCC) disease awareness event. The event doesn’t begin until October, but we’re starting to make announcements this weekend and leading up to the event date. The event is called the It Takes Guts! 21 Day Challenge. It’s purpose is to help those in the HCC disease community work towards a personal goal, to help improve physical or emotional well-being. We’re also raising awareness for all HCC diseases as well! Let me know if you’re interested and I can send you more info and the link to the online invitation!

    Hope you’re doing well!

    Thank you,


    Posted by alyzee17 | August 17, 2013, 3:22 pm
  5. Thank you for the information. I was great help for me.. My sister has been diagnosed with colorectal cancer and its hard to see her in this tough situation. she has been admitted to CSCS Australia(http://colorectal-surgeon.com.au/) .. doctors have assured a speedy recovery.

    Posted by Anna | November 6, 2014, 10:40 am
  6. My family cannot stress the importance of identifying the risks of HNPCC LS together with your GP and especially to advise and guide younger adult members of the family who may be dismissive or deny themselves the chance of early surveillance. Some GPs still need to be “educated” and in these cases one recommends seeking a referral or making contact with the local genetics nurse / specialist. My brother died at 37. I was found to have colon cancer at 40, our own son died at just 30 and our daughter who was “scoped” avoided more serious problems after evidence was found. We and relevant of my family are regularly scoped etc. It seems to affect the next generation about 7 years earlier than in the preceding generation with CC.

    Posted by Howard Goodrick | July 23, 2015, 10:14 am

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