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. 2010 Jan 5;102(3):482–488. doi: 10.1038/sj.bjc.6605509

Table 3. Study participants according to categories of the Revised Bethesda Guidelines (Classified according to the ‘dominant’ criterion; that is, one patient can fulfil more than one of the criteria).

Revised Bethesda Guidelines 2004 Number of patients Proportion (%)
1. CRC diagnosed in a patient <50 years 20 23.0
2. Presence of metachronous, synchronous colorectal or other Lynch-relateda tumours, regardless of age 14 16.1
3. CRC with MSI-H phenotypeb diagnosed before 60 years of age 21 24.1
4. Patient with CRC and a first-degree relative with a LS-related tumour, with one cancer diagnosed before 50 years of age 12 13.8
5. Patient with CRC with two or more first- or second-degree relatives with a LS-related tumour, regardless of age 20 23.0
Total 336 100.0

Abbreviations: CRC=colorectal cancer; LS=Lynch syndrome; MSI-H=microsatellite instability-high.

a

Lynch syndrome-related tumours: colorectal, endometrial, stomach, ovarian, pancreas, ureters, renal pelvis, biliary tract and brain tumours, sebaceous gland adenomas and keratoacanthomas, and carcinoma of the small bowel.

b

Lymfocyte-infiltrating tumours, low grade or undifferentiated, Crohn's-like lymphocyte infiltration, the presence of mucin or signet cells in the tumours, and ‘cribriform growth pattern’.