Table 2:
Cumulative risk (CR) of CRC and/or EC by MMR gene (studies from 2013-2018)
| Reference | Number of families or patients | Genes | 70-year CR of CRC % (95% CI)* | 70-year CR of EC % (95% CI)* |
|---|---|---|---|---|
| Dowty (2013)63 | 166 MLH1 and 224 MSH2 families (CCFR) |
MLH1 MSH2 |
MLH1 - (M): 34% (25-50) - (F): 36%(25-51) MSH2 - (M): 47% (36-60) - (F): 37%(27-50) |
MLH1: 18% (9.1-34) MSH2: 30% (18-45) |
| Møller 2018)64 | 3119 LS patients (PLSD, European) |
MLH1 MSH2 MSH6 PMS2 |
MLH1: 40.1% (33.5-46.7) MSH2: 40.8% (31.6-50.1) MSH6: 15.0% (3.3 to 26.6) PMS2: 0 |
MLH1: 40.3% (31.5-49.1) MSH2: 52.7% (38.7-66.8) MSH6: 46.3% (27.3-65.0) PMS2: 26.4% (0.8-51.9) |
| Sanchez (2018)65 | 1,108 LS patients (Spain) |
MLH1 MSH2 MSH6 PMS2 |
MLH1: 25.6% (13.2-38.2) MSH2: 22.1% (11.3 – 35.1) MSH6: 6.3% (0-12.8) PMS2: 25.9% (7-71) |
Not studied |
| ten Broeke (2018)51 | 284 families with PMS2 variants (European, Ohio State, CCFR) |
PMS2 |
PMS2:* - (M): 13% (7.9-22) - (F): 13% (7.0-24) |
PMS2:* 13% (7.0-24) |
ten Broeke series reported cumulative risk at 80 years, not 70
CCFR, Colon Cancer Family Registry; CI, confidence interval; CRC, colorectal cancer; EC, endometrial cancer; F, female; M, male; MLH1, MutL homolog 1; MSH2, MutS homolog 2; MSH6 MutS Homolog 6; PLSD, Prospective Lynch Syndrome Database; PMS2, PMS1 homolog 2