دورية أكاديمية

Colorectal cancer and advanced adenoma characteristics according to causative mismatch repair gene variant in Japanese colorectal surveillance for Lynch syndrome.

التفاصيل البيبلوغرافية
العنوان: Colorectal cancer and advanced adenoma characteristics according to causative mismatch repair gene variant in Japanese colorectal surveillance for Lynch syndrome.
المؤلفون: Chino A; Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-hu, Tokyo, 138-8550, Japan. akiko.chino@jfcr.or.jp.; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan. akiko.chino@jfcr.or.jp., Tanakaya K; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Department of Surgery, National Hospital Organization Iwakuni Clinical Center, Yamaguchi, Japan., Nakajima T; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Department of Clinical Genetics, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.; Department of Medical Ethics Medical Genetics, Graduate School of Medicine, Kyoto University, Kyoto, Japan., Akagi K; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Department of Molecular Diagnosis and Cancer Prevention, Saitama Cancer Center, Saitama, Japan., Takao A; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Department of Gastroenterology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan., Yamada M; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan., Ishida H; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan., Komori K; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, Aichi, Japan., Sasaki K; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Department of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo, Japan., Miguchi M; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Department of Gastroenterological Surgery, Hiroshima Prefectural Hospital, Hiroshima, Japan., Hirata K; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Department of Surgery 1, University of Occupational and Environmental Health, Kitakyushu, Japan., Sudo T; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Department of Surgery, Kurume University, Fukuoka, Japan., Miyakura Y; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Department of Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan., Ishikawa T; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Department of Surgery, Tokyo Medical and Dental University, Tokyo, Japan.; Department of Medical Oncology, Juntendo University, Tokyo, Japan., Yamaguchi T; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Department of Gastroenterology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan., Tomita N; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Cancer Treatment Center, Toyonaka Municipal Hospital, Osaka, Japan., Ajioka Y; The Committee of Hereditary Colorectal Cancer, Japanese Society for Cancer of the Colon and Rectum, Tokyo, Japan.; Division of Molecular and Diagnostic Pathology, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.
المصدر: Journal of gastroenterology [J Gastroenterol] 2024 Aug; Vol. 59 (8), pp. 699-708. Date of Electronic Publication: 2024 Jun 21.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: Springer International Country of Publication: Japan NLM ID: 9430794 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1435-5922 (Electronic) Linking ISSN: 09441174 NLM ISO Abbreviation: J Gastroenterol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Tokyo : Springer International, c1994-
مواضيع طبية MeSH: Colorectal Neoplasms, Hereditary Nonpolyposis*/genetics , Colorectal Neoplasms, Hereditary Nonpolyposis*/pathology , Colorectal Neoplasms, Hereditary Nonpolyposis*/diagnosis , Adenoma*/genetics , Adenoma*/pathology , Adenoma*/epidemiology , Colonoscopy* , Colorectal Neoplasms*/genetics , Colorectal Neoplasms*/pathology , Colorectal Neoplasms*/diagnosis , Colorectal Neoplasms*/epidemiology , MutL Protein Homolog 1*/genetics , DNA Mismatch Repair*/genetics , MutS Homolog 2 Protein*/genetics, Humans ; Male ; Female ; Middle Aged ; Retrospective Studies ; Japan/epidemiology ; Aged ; Adult ; Incidence ; DNA-Binding Proteins/genetics ; Germ-Line Mutation ; Time Factors ; Early Detection of Cancer/methods ; East Asian People
مستخلص: Background: The optimal interval of colonoscopy (CS) surveillance in cases with Lynch syndrome (LS), and stratification according to the causative mismatch repair gene mutation, has received much attention. To verify a feasible and effective CS surveillance strategy, we investigated the colorectal cancer (CRC) incidence at different intervals and the characteristics of precancerous colorectal lesions of LS cases.
Methods: This retrospective multicenter study was conducted in Japan. CRCs and advanced adenomas (AAs) in 316 LS cases with germline pathogenic variants (path_) were analyzed according to the data of 1,756 registered CS.
Results: The mean time interval for advanced CRCs (ACs) detected via CS surveillance was 28.7 months (95% confidence interval: 13.8-43.5). The rate of AC detection within (2.1%) and beyond 2 years (8.7%) differed significantly (p = 0.0003). AAs accounted for 43%, 46%, and 41% of lesions < 10 mm in size in the MLH1-, MSH2-, and MSH6-groups, respectively. The lifetime incidence of metachronous CRCs requiring intestinal resection for path_MLH1, path_MSH2, and path_MSH6 cases was 34%, 23%, and 14% in these cases, respectively. The cumulative CRC incidence showed a trend towards a 10-year delay for path_MSH6 cases as compared with that for path_MLH1 and path_MSH2 cases.
Conclusions: In cases with path_MLH1, path_MSH2, and path_MSH6, maintaining an appropriate CS surveillance interval of within 2 years is advisable to detect of the colorectal lesion amenable to endoscopic treatment. path_MSH6 cases could be stratified with path_MLH1 and MSH2 cases in terms of risk of metachronous CRC and age of onset.
(© 2024. Japanese Society of Gastroenterology.)
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فهرسة مساهمة: Keywords: Advanced adenoma; Interval colorectal cancer; Lynch syndrome; Quality indicator; Surveillance stratification
المشرفين على المادة: EC 3.6.1.3 (MutL Protein Homolog 1)
0 (MLH1 protein, human)
EC 3.6.1.3 (MutS Homolog 2 Protein)
EC 3.6.1.3 (MSH2 protein, human)
0 (DNA-Binding Proteins)
0 (G-T mismatch-binding protein)
تواريخ الأحداث: Date Created: 20240620 Date Completed: 20240728 Latest Revision: 20240808
رمز التحديث: 20240808
DOI: 10.1007/s00535-024-02128-5
PMID: 38902413
قاعدة البيانات: MEDLINE
الوصف
تدمد:1435-5922
DOI:10.1007/s00535-024-02128-5