Colorectal cancer causes

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To view the causes of familial adenomatous polyposis (FAP), click here
To view the causes of hereditary nonpolyposis colorectal cancer (HNPCC), click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy, M.D.

Overview

There are both genetic and environmental causes of colorectal carcinoma (CRC). Some of the genetic causes are familial adenomatous polyposis and hereditary non-polyposis colorectal cancer. The sporadic colorectal cancers develop from environmental causes.

Colorectal Cancer Causes

There are both genetic and environmental factors that lead to colorectal carcinoma.[1] FAP and HNPCC are the most common causes of CRC, but together these two conditions account for only about 5 percent of CRC.[2]

  • The table below lists the genetic causes for colorectal carcinoma:
Genetic Cause Description
Familial Adenomatous Polyposis (FAP)
  • To view Gardner's syndrome, Turcot's syndrome, and attenuated adenomatous polyposis coli , click here
MUTYH-associated Polyposis (MAP)
  • AR inheritance
  • Caused by bi-allelic germline mutations in the base excision repair gene mutY homolog (MYH or MUTYH)
Lynch Syndrome AKA Hereditary Non-polyposis Colorectal Cancer (HNPCC)
  • AD inheritance
  • Caused by a defect in one of the mismatch repair genes, most commonly hMLH1, hMSH2, hMSH6, or PMS2
  • Mean age at initial cancer diagnosis is around 48 years[4]
  • To view the environmental factors that may contribute to the development of colorectal carcinoma, please review its environmental risk factors.
    • The sporadic colorectal cancers develop from environmental causes.

References

  1. Chan AT, Giovannucci EL (2010). "Primary prevention of colorectal cancer". Gastroenterology. 138 (6): 2029–2043.e10. doi:10.1053/j.gastro.2010.01.057. PMC 2947820. PMID 20420944.
  2. Burt RW, DiSario JA, Cannon-Albright L (1995). "Genetics of colon cancer: impact of inheritance on colon cancer risk". Annu Rev Med. 46: 371–9. doi:10.1146/annurev.med.46.1.371. PMID 7598472.
  3. Mazur IA (1977). "[Synthesis of imidazopyrimidines and imidazoquinazolines with a common nitrogen atom]". Farm Zh (6): 37–41. PMID 598472.
  4. Parry S, Win AK, Parry B, Macrae FA, Gurrin LC, Church JM; et al. (2011). "Metachronous colorectal cancer risk for mismatch repair gene mutation carriers: the advantage of more extensive colon surgery". Gut. 60 (7): 950–7. doi:10.1136/gut.2010.228056. PMC 3848416. PMID 21193451.


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