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CANCER

GENETIC CANCER RISK

Colorectal

Elevated Risk

Female Breast

Elevated Risk

Endometrial

Elevated Risk

Other

Elevated Risk

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CANCER TYPE

AGE RANGE

CANCER RISK

RISK FOR GENERAL POPULATION

Colorectal

To age 80

Elevated risk

2.8%

Female Breast

To age 80

Elevated risk

10.7%

Endometrial

To age 80

Possibly elevated risk

2.6%

Small Bowel

To age 80

Possibly elevated risk

0.2%

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CANCER TYPE

PROCEDURE

AGE TO BEGIN

FREQUENCY

Colorectal

Colonoscopy

25 to 30 years

Every 2 to 3 years

Colorectal surgical evaluation and counseling.

Based on cancer diagnosis and/or polyp number, size and histology

NA

Female Breast

Currently there are no specific medical management guidelines for female breast cancer risk in biallelic mutation carriers. However, the possibility of an increased risk for breast cancer warrants consideration of individualized breast cancer risk-reduction strategies, such as the modification of standard population screening recommendations by starting screening at younger ages and/or performing screenings at greater frequency

NA

NA

Endometrial

Patient education about the importance of quickly seeking attention for endometrial cancer symptoms, such as abnormal bleeding

Individualized

NA

Consider transvaginal ultrasound

After menopause

Individualized

Small Bowel

Upper endoscopy, including complete visualization of the entire small bowel

Baseline at 30 to 35 years

Every 3 to 5 years

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