4.1 Article

Risk assessment and genetic counseling for Lynch syndrome - Practice resource of the National Society of Genetic Counselors and the Collaborative Group of the Americas on Inherited Gastrointestinal Cancer

Journal

JOURNAL OF GENETIC COUNSELING
Volume 31, Issue 3, Pages 568-583

Publisher

WILEY
DOI: 10.1002/jgc4.1546

Keywords

BRAF; colorectal neoplasms; germline testing; hereditary non-polyposis colorectal cancer; immunohistochemistry; Lynch syndrome; microsatellite instability; mismatch repair; MLH1 methylation; tumor genomic profiling; uterine neoplasms

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This article introduces the methods and tests for identifying Lynch syndrome and provides guidance and testing algorithms for evaluating Lynch syndrome. The article also emphasizes the importance of consulting with genetics professionals and not relying solely on the practice resource.
Identifying individuals who have Lynch syndrome involves a complex diagnostic workup that includes taking a detailed family history and a combination of various tests such as immunohistochemistry and/or molecular which may be germline and/or somatic. The National Society of Genetic Counselors and the Collaborative Group of the Americas on Inherited Gastrointestinal Cancer have come together to publish this practice resource for the evaluation of Lynch syndrome. The purpose of this practice resource was to provide guidance and a testing algorithm for Lynch syndrome as well as recommendations on when to offer testing. This practice resource does not replace a consultation with a genetics professional. This practice resource includes explanations in support of this and a summary of background data. While this practice resource is not intended to serve as a review of Lynch syndrome, it includes a discussion of background information and cites a number of key publications which should be reviewed for a more in-depth understanding. This practice resource is intended for genetic counselors, geneticists, gastroenterologists, surgeons, medical oncologists, obstetricians and gynecologists, nurses, and other healthcare providers who evaluate patients for Lynch syndrome.

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