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Novel Genetic Causes of Gastrointestinal Polyposis Syndromes.


ABSTRACT: Hereditary polyposis syndromes are characterized by a large number and/or histopathologically specific polyps in the gastrointestinal tract and a high risk of both colorectal cancer and extracolonic cancer at an early age. While the genes responsible for some of the syndromes, eg, APC in familial adenomatous polyposis and STK11 in Peutz-Jeghers syndrome, have been known for decades, novel genetic causes have recently been detected that have shed light on the broader clinical spectrum of syndromes. Genetic diagnoses are important because they can facilitate a personalized surveillance program. Furthermore, at-risk members of the patient's family can be tested and enrolled in surveillance as needed. In some cases, prenatal diagnostics should be offered. In this paper, we describe the development in germline genetics of the hereditary polyposis syndromes over the last 10-12 years, their clinical characteristics, as well as how to implement genetic analyses in the diagnostic pipeline.

SUBMITTER: Jelsig AM 

PROVIDER: S-EPMC8637176 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Novel Genetic Causes of Gastrointestinal Polyposis Syndromes.

Jelsig Anne Marie AM   Byrjalsen Anna A   Busk Madsen Majbritt M   Kuhlmann Tine Plato TP   van Overeem Hansen Thomas T   Wadt Karin A W KAW   Karstensen John Gásdal JG  

The application of clinical genetics 20211127


Hereditary polyposis syndromes are characterized by a large number and/or histopathologically specific polyps in the gastrointestinal tract and a high risk of both colorectal cancer and extracolonic cancer at an early age. While the genes responsible for some of the syndromes, eg, <i>APC</i> in familial adenomatous polyposis and <i>STK11</i> in Peutz-Jeghers syndrome, have been known for decades, novel genetic causes have recently been detected that have shed light on the broader clinical spectr  ...[more]

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