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SURVEILLANCE FOR A FAMILY HISTORY OF COLORECTAL CANCER Andrew Luck Northern Adelaide  Colorectal Network Lyell McEwin Hospital South Australia
NATURE OR NURTURE? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NATURE OR NURTURE? ,[object Object],[object Object],[object Object],[object Object],[object Object]
AVERAGE RISK If aged Risk over 5 years Risk over 10 years Risk over 15 years Risk over 20 years 30 1 in 7000 1 in 2000 1 in 700 1 in 350 40 1 in 1200 1 in 400 1 in 200 1 in 90 50 1 in 300 1 in 100 1 in 50 1 in30 60 1 in 100 1 in 50 1 in 30 1 in 20 70  1 in 65 1 in 30 1 in 20 1 in 15 80 1 in 50 1 in 25
CATEGORY 1 ,[object Object],[object Object],[object Object]
CATEGORY 1 ,[object Object],[object Object],[object Object]
MODERATELY INCREASED RISK ,[object Object],[object Object],[object Object],[object Object]
AVERAGE RISK If aged Risk over 5 years Risk over 10 years Risk over 15 years Risk over 20 years 30 1 in 7000 1 in 2000 1 in 700 1 in 350 40 1 in 1200 1 in 400 1 in 200 1 in 90 50 1 in 300 1 in 100 1 in 50 1 in30 60 1 in 100 1 in 50 1 in 30 1 in 20 70  1 in 65 1 in 30 1 in 20 1 in 15 80 1 in 50 1 in 25
CATEGORY 2 ,[object Object],[object Object],[object Object],[object Object]
FH ADENOMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CATEGORY 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CATEGORY 3 ,[object Object],[object Object],[object Object]
CATEGORY 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FAMILIAL ADENOMATOUS POLYPOSIS (FAP) ,[object Object],[object Object],[object Object],[object Object],[object Object]
FAMILIAL ADENOMATOUS POLYPOSIS (FAP) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FAMILIAL ADENOMATOUS POLYPOSIS (FAP) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEREDITARY NON-POLYPOSIS COLORECTAL CANCER (hnpcc) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HNPCC ,[object Object],[object Object],[object Object],[object Object],[object Object]
BETHESDA GUIDELINES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MICROSATELLITE INSTABILITY ,[object Object],[object Object],[object Object],[object Object]
MSI-H ,[object Object],[object Object],[object Object],[object Object],[object Object]
HNPCC ,[object Object],[object Object],[object Object],[object Object],[object Object]
HNPCC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SUMMARY ,[object Object],[object Object],[object Object],[object Object]
SUMMARY  ,[object Object],[object Object],[object Object],[object Object],[object Object]
SUMMARY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Surveillance for a Family History of Colorectal Cancer

  • 1. SURVEILLANCE FOR A FAMILY HISTORY OF COLORECTAL CANCER Andrew Luck Northern Adelaide Colorectal Network Lyell McEwin Hospital South Australia
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  • 4. AVERAGE RISK If aged Risk over 5 years Risk over 10 years Risk over 15 years Risk over 20 years 30 1 in 7000 1 in 2000 1 in 700 1 in 350 40 1 in 1200 1 in 400 1 in 200 1 in 90 50 1 in 300 1 in 100 1 in 50 1 in30 60 1 in 100 1 in 50 1 in 30 1 in 20 70 1 in 65 1 in 30 1 in 20 1 in 15 80 1 in 50 1 in 25
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  • 8. AVERAGE RISK If aged Risk over 5 years Risk over 10 years Risk over 15 years Risk over 20 years 30 1 in 7000 1 in 2000 1 in 700 1 in 350 40 1 in 1200 1 in 400 1 in 200 1 in 90 50 1 in 300 1 in 100 1 in 50 1 in30 60 1 in 100 1 in 50 1 in 30 1 in 20 70 1 in 65 1 in 30 1 in 20 1 in 15 80 1 in 50 1 in 25
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