Campaigns, Lynch Syndrome, Press Releases, West Middlesex University Hospital

UK colorectal cancer patients are inadequately assessed for Lynch syndrome.


Our new study shows that we can do much more to identify patients with Lynch syndrome in the UK. We already know that diagnosing Lynch syndrome can affect the treatment of a patient with bowel cancer – and can save the lives of their family members. Every team dealing with bowel cancer patients needs to routinely discuss the possibility of an inherited cancer syndrome.  This study has just been published in the journal ‘Frontline Gastroenterology’.

Lynch syndrome is the most common familial bowel cancer syndrome. European guidelines suggest selective screening of appropriate colorectal cancer patients, according to the revised Bethesda criteria. Many eligible patients do not undergo the necessary investigation.

What this study adds

This is the first time that UK practice in this area has been evaluated. Our patients are assessed haphazardly for Lynch syndrome, and we do not follow international guidance. This will lead to under-diagnosis and missed opportunities to reduce cancer mortality. impact on clinical practice in the foreseeable

Colorectal cancer teams should incorporate a revised Bethesda assessment into the routine discussion of each new patient. They should develop screening and referral pathways with their local genetics services. This aspect of their work can be audited and may become a quality standard in the future.

The “Family History of Bowel Cancer” clinic at the West Middlesex University Hospital, led by Dr Kevin Monahan, helps assess patients with a significant family background of cancers.  Patients, GPs and other health professionals can read more about our service, and how to make a referral, at https://familyhistorybowelcancer.wordpress.com.

Contact: bowelcancer@wmuh.nhs.uk

Article: UK colorectal cancer patients are inadequately assessed for Lynch syndrome. Maria Adelson, Samuel Pannick, James E East, Peter Risby, Peter Dawson, Kevin J Monahan

Advertisements

About kjmonahan

Service lead for Family History of Bowel Cancer Clinic

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Enter your email address to follow this blog and receive notifications of new posts by email.

Join 1,302 other followers

Live twitter feed

RSS CRUK Bowel Cancer Blog

  • An error has occurred; the feed is probably down. Try again later.

RSS Familial Cancer

  • An error has occurred; the feed is probably down. Try again later.

Categories

Google Plus

%d bloggers like this: