Table 2.
Amsterdam criteria (meet all sub criteria) |
Amsterdam II criteria (meet all sub criteria) |
Revised Bethesda criteria (meet one of the following sub criteria) |
---|---|---|
3 or more relatives with histologically confirmed colorectal cancer | 3 or more relatives with Lynch syndrome-associated cancer (colorectal cancer or cancer of the endometrium, small intestine, ureter or renal pelvis); cancers are histologically verified | Colorectal cancer diagnosed in a patient aged <50 years |
2 or more successive generations involved | 2 or more successive generations affected | Presence of synchronous, metachronous colorectal cancer or other Lynch syndrome-related tumors: cancer of the colorectum, stomach, small intestine, pancreas, biliary tract, renal pelvis, ureter, ovary, brain; sebaceous gland adenoma or carcinoma and keratoacanthoma, regardless of age |
1 or more of the cancers diagnosed before age 50 years | 1 or more relatives diagnosed before the age of 50 years | Colorectal cancer with MSI phenotype, especially lymphocyte infiltration, diagnosed in a patient aged <60 years |
One should be a first-degree relative of the other two | One should be a first-degree relative of the other two | Patient with colorectal cancer and a first-degree relative with a Lynch syndrome-related tumor, with one of these cancers diagnosed at age <50 years |
Familial adenomatous polyposis should be excluded | Familial adenomatous polyposis should be excluded in cases of colorectal carcinoma | Patient with colorectal cancer with two or more first-degree or second-degree relatives with a Lynch syndrome-related tumor, regardless of age |