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. 2000 Oct 7;321(7265):886–889. doi: 10.1136/bmj.321.7265.886
FAP AFAP/HFAS HNPCC/Lynch UCAN
Mean age at diagnosis ofcolorectal cancer 32-39 45-55 42-49 40-70
Distribution of cancer Random Mainly right colon Mainly right colon Mainly left colon
No of polyps >100 1-100 1 (ie tumour)
Sex ratio (male:female) 1:1 1:1 1.5:1 1:1
Endoscopic view of polyp Pedunculated Mainly flat Pedunculated (45%); flat (55%) None
Lag time (years) from early adenoma to occurrence of cancer 10-20 10 5 ?<8
Proportion (%) of colonic cancer 1 0.5 1-5 <0.5
Superficial physical stigmata 80% have retinal pigmentation None Only in Muir-Torre syndrome None
Distribution of polyps Distal colon or universal Mainly proximal to splenic flexure with rectal sparing Mainly proximal to splenic flexure None
Carcinoma histology More exophytic growth Non-exophytic but very variable Inflammation increased mucin Mucosal ulceration and inflammation
Other associated tumours Duodenal adenoma cerebral and thyroid tumours, medulloblastoma and desmoids Duodenal adenoma Endometrial ovarian, gastric cancer, glioblastoma, many other cancers
Gene (chromosome) mutation APC (5q 21) distal to 5′ APC (5q 21) proximal to 5′ MHS2 (2p), MLH1 (3p21), PMS1 (2q31), PMS2 (7p22) Multiple mutations, 17p (p53), 5q (APC), 9p (p16)