Case Report: Multiple colorectal cancers in a patient with Ulcerative colitis and Lynch syndrome: Is there a role for prophylactic colectomy? A short report and review of literature

It is a known fact that Lynch syndrome (LS) and Ulcerative colitis (UC) are individually associated with increased risk of colorectal cancer. While there is no conclusive evidence to demonstrate a cumulative risk when these two conditions coexist, available data suggest early onset and synchronous c...

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Main Authors: Adewale Adeoba Ayeni, Peter Waterland, Matthew Evans, Shika Singhal, Rajan Kumar Patel, Akinfemi Akingboye
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.1031606/full
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author Adewale Adeoba Ayeni
Peter Waterland
Matthew Evans
Shika Singhal
Rajan Kumar Patel
Akinfemi Akingboye
author_facet Adewale Adeoba Ayeni
Peter Waterland
Matthew Evans
Shika Singhal
Rajan Kumar Patel
Akinfemi Akingboye
author_sort Adewale Adeoba Ayeni
collection DOAJ
description It is a known fact that Lynch syndrome (LS) and Ulcerative colitis (UC) are individually associated with increased risk of colorectal cancer. While there is no conclusive evidence to demonstrate a cumulative risk when these two conditions coexist, available data suggest early onset and synchronous cancers are synonymous to this group. We have reported an unusual case of multiple synchronous colorectal cancers in a young man with ulcerative colitis and Lynch syndrome also known as Hereditary Nonpolyposis Colorectal Cancer (HNPCC) gene mutation. We propose that conducting a detailed genetic mutation profile in LS patients may play a key role in guiding the intensity of endoscopic surveillance and that a concerted, pragmatic, patient guided approach should be adopted on the subject of prophylactic colectomy when UC and LS co-exist.
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spelling doaj.art-e3053ee437d34426ac8c179ea0d5ffd92022-12-22T14:12:49ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-12-011210.3389/fonc.2022.10316061031606Case Report: Multiple colorectal cancers in a patient with Ulcerative colitis and Lynch syndrome: Is there a role for prophylactic colectomy? A short report and review of literatureAdewale Adeoba Ayeni0Peter Waterland1Matthew Evans2Shika Singhal3Rajan Kumar Patel4Akinfemi Akingboye5Department of General Surgery, The Dudley Group Foundation NHS Trust, Russells Hall Hospital, Dudley, West MidlandsDepartment of General Surgery, The Dudley Group Foundation NHS Trust, Russells Hall Hospital, Dudley, West MidlandsDepartment of Pathology, New Cross Hospital, Wolverhampton, United KingdomDepartment of Pathology, New Cross Hospital, Wolverhampton, United KingdomDepartment of General Surgery, The Dudley Group Foundation NHS Trust, Russells Hall Hospital, Dudley, West MidlandsDepartment of General Surgery, The Dudley Group Foundation NHS Trust, Russells Hall Hospital, Dudley, West MidlandsIt is a known fact that Lynch syndrome (LS) and Ulcerative colitis (UC) are individually associated with increased risk of colorectal cancer. While there is no conclusive evidence to demonstrate a cumulative risk when these two conditions coexist, available data suggest early onset and synchronous cancers are synonymous to this group. We have reported an unusual case of multiple synchronous colorectal cancers in a young man with ulcerative colitis and Lynch syndrome also known as Hereditary Nonpolyposis Colorectal Cancer (HNPCC) gene mutation. We propose that conducting a detailed genetic mutation profile in LS patients may play a key role in guiding the intensity of endoscopic surveillance and that a concerted, pragmatic, patient guided approach should be adopted on the subject of prophylactic colectomy when UC and LS co-exist.https://www.frontiersin.org/articles/10.3389/fonc.2022.1031606/fullHNPCC: hereditary non-polyposis colorectal cancerIBD - inflammatory bowel diseasecolorectal cancerLynch syndromeUlcerative colitis (colitis ulcerosa)
spellingShingle Adewale Adeoba Ayeni
Peter Waterland
Matthew Evans
Shika Singhal
Rajan Kumar Patel
Akinfemi Akingboye
Case Report: Multiple colorectal cancers in a patient with Ulcerative colitis and Lynch syndrome: Is there a role for prophylactic colectomy? A short report and review of literature
Frontiers in Oncology
HNPCC: hereditary non-polyposis colorectal cancer
IBD - inflammatory bowel disease
colorectal cancer
Lynch syndrome
Ulcerative colitis (colitis ulcerosa)
title Case Report: Multiple colorectal cancers in a patient with Ulcerative colitis and Lynch syndrome: Is there a role for prophylactic colectomy? A short report and review of literature
title_full Case Report: Multiple colorectal cancers in a patient with Ulcerative colitis and Lynch syndrome: Is there a role for prophylactic colectomy? A short report and review of literature
title_fullStr Case Report: Multiple colorectal cancers in a patient with Ulcerative colitis and Lynch syndrome: Is there a role for prophylactic colectomy? A short report and review of literature
title_full_unstemmed Case Report: Multiple colorectal cancers in a patient with Ulcerative colitis and Lynch syndrome: Is there a role for prophylactic colectomy? A short report and review of literature
title_short Case Report: Multiple colorectal cancers in a patient with Ulcerative colitis and Lynch syndrome: Is there a role for prophylactic colectomy? A short report and review of literature
title_sort case report multiple colorectal cancers in a patient with ulcerative colitis and lynch syndrome is there a role for prophylactic colectomy a short report and review of literature
topic HNPCC: hereditary non-polyposis colorectal cancer
IBD - inflammatory bowel disease
colorectal cancer
Lynch syndrome
Ulcerative colitis (colitis ulcerosa)
url https://www.frontiersin.org/articles/10.3389/fonc.2022.1031606/full
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