Table 1. Amsterdam II criteria (5) and Bethesda criteria (6).
Amsterdam II criteria (all criteria must be met) |
Three or more relatives with histologically confirmed colorectal cancer or cancer of the endometrium, small bowel, ureter, or renal pelvis, one affected relative being first-degree relative of the other two; FAP should be excluded |
Two or more successive generations are affected |
At least one relative was diagnosed before the age of 50 years |
Revised Bethesda guidelines (one or more of the following criteria must be met) |
Colorectal cancer before the age of 50 years |
Synchronous or metachronous colorectal cancer or other HNPCC-related tumors, regardless of age |
Colorectal cancer with MSI-H morphology before the age of 60 years |
Colorectal cancer (regardless of age) and a first-degree relative with colorectal cancer or an HNPCC-related tumor before the age of 50 years |
Colorectal cancer (regardless of age) and two or more first- or second-degree relatives diagnosed with colorectal cancer or an HNPCC-related tumor (regardless of age) |
FAP, familial adenomatous polyposis; MSI, microsatellite instability.