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Colorectal cancer

MedGen UID:
83428
Concept ID:
C0346629
Neoplastic Process
Synonyms: Colorectal cancer, somatic; Malignant Colorectal Neoplasm
SNOMED CT: Cancer of large intestine (363510005); Cancer of large bowel (363510005); Malignant tumor of large intestine (363510005); Malignant neoplasm of large intestine (363510005)
 
Genes (locations): AKT1 (14q32.33); APC (5q22.2); AURKA (20q13.2); AXIN2 (17q24.1); BAX (19q13.33); BRAF (7q34); BUB1 (2q13); BUB1B (15q15.1); CCND1 (11q13.3); CTNNB1 (3p22.1); DCC (18q21.2); DLC1 (8p22); EP300 (22q13.2); FGFR3 (4p16.3); FLCN (17p11.2); MCC (5q22.2); MLH3 (14q24.3); NRAS (1p13.2); PDGFRL (8p22); PIK3CA (3q26.32); PLA2G2A (1p36.13); PTPN12 (7q11.23); PTPRJ (11p11.2); RAD54B (8q22.1); SRC (20q11.23); TLR2 (4q31.3); TP53 (17p13.1)
 
Monarch Initiative: MONDO:0005575
OMIM®: 114500
Orphanet: ORPHA466667

Disease characteristics

Excerpted from the GeneReview: Lynch Syndrome
Lynch syndrome is characterized by an increased risk for colorectal cancer (CRC) and cancers of the endometrium, ovary, stomach, small bowel, urinary tract, biliary tract, brain (usually glioblastoma), skin (sebaceous adenomas, sebaceous carcinomas, and keratoacanthomas), pancreas, and prostate. Cancer risks and age of onset vary depending on the associated gene. Several other cancer types have been reported to occur in individuals with Lynch syndrome (e.g., breast, sarcomas, adrenocortical carcinoma). However, the data are not sufficient to demonstrate that the risk of developing these cancers is increased in individuals with Lynch syndrome. [from GeneReviews]
Authors:
Gregory Idos  |  Laura Valle   view full author information

Additional description

From OMIM
Colorectal cancer is a heterogeneous disease that is common in both men and women. In addition to lifestyle and environmental risk factors, gene defects can contribute to an inherited predisposition to CRC. CRC is caused by changes in different molecular pathogenic pathways, such as chromosomal instability, CpG island methylator phenotype, and microsatellite instability. Chromosome instability is the most common alteration and is present in almost 85% of all cases (review by Schweiger et al., 2013). Genetic Heterogeneity of Colorectal Cancer Mutations in a single gene result in a marked predisposition to colorectal cancer in familial adenomatous polyposis (FAP; 175100) and hereditary nonpolyposis colorectal cancer (HNPCC; see 120435). FAP is caused by mutations in the APC gene (611731), whereas HNPCC is caused by mutations in several genes, including MSH2 (609309), MLH1 (120436), PMS1 (600258), PMS2 (600259), MSH6 (600678), TGFBR2 (190182), and MLH3 (604395). Epigenetic silencing of MSH2 results in a form of HNPCC (see HNPCC8, 613244). Other colorectal cancer syndromes include autosomal recessive adenomatous polyposis (608456), which is caused by mutations in the MUTYH gene (604933), and oligodontia-colorectal cancer syndrome (608615), which is caused by mutations in the AXIN2 gene (604025). Colorectal cancer is a predominant form of cancer in tumor predisposition syndrome-4 (TPDS4; 609265), which is caused by mutation in the CHEK2 gene (604373). A germline mutation in the PLA2G2A gene (172411) was identified in a patient with colorectal cancer. Germline susceptibility loci for colorectal cancer have also been identified. CRCS1 (608812) is conferred by mutation in the GALNT12 gene (610290) on chromosome 9q22; CRCS2 (611469) maps to chromosome 8q24; CRCS3 (612229) is conferred by variation in the SMAD7 gene (602932) on chromosome 18; CRCS4 (601228) is conferred by variation on 15q that causes increased and ectopic expression of the GREM1 gene (603054); CRCS5 (612230) maps to chromosome 10p14; CRCS6 (612231) maps to chromosome 8q23; CRCS7 (612232) maps to chromosome 11q23; CRCS8 (612589) maps to chromosome 14q22; CRCS9 (612590) maps to 16q22; CRCS10 (612591) is conferred by mutation in the POLD1 gene (174761) on chromosome 19q13; CRCS11 (612592) maps to chromosome 20p12; and CRCS12 (615083) is conferred by mutation in the POLE gene (174762) on chromosome 12q24. Somatic mutations in many different genes, including KRAS (190070), PIK3CA (171834), BRAF (164757), CTNNB1 (116806), FGFR3 (134934), AXIN2 (604025), AKT1 (164730), MCC (159350), MYH11 (160745), PARK2 (602544), RNF43 (612482), and BUB1 (601452), have been identified in colorectal cancer.  http://www.omim.org/entry/114500

Clinical features

From HPO
Renal cell carcinoma
MedGen UID:
766
Concept ID:
C0007134
Neoplastic Process
A type of carcinoma of the kidney with origin in the epithelium of the proximal convoluted renal tubule.
Transitional cell carcinoma of the bladder
MedGen UID:
76013
Concept ID:
C0279680
Neoplastic Process
The presence of a carcinoma of the urinary bladder with origin in a transitional epithelial cell.
Uterine leiomyosarcoma
MedGen UID:
83679
Concept ID:
C0280631
Neoplastic Process
The presence of a leiomyosarcoma of the uterus.
Colon cancer
MedGen UID:
2839
Concept ID:
C0007102
Neoplastic Process
A primary or metastatic malignant neoplasm that affects the colon. Representative examples include carcinoma, lymphoma, and sarcoma.
Neoplasm of stomach
MedGen UID:
20958
Concept ID:
C0038356
Neoplastic Process
A tumor (abnormal growth of tissue) of the stomach.
Hereditary nonpolyposis colorectal carcinoma
MedGen UID:
870541
Concept ID:
C4024989
Neoplastic Process

Term Hierarchy

Professional guidelines

PubMed

Wlodarski MW, Vlachos A, Farrar JE, Da Costa LM, Kattamis A, Dianzani I, Belendez C, Unal S, Tamary H, Pasauliene R, Pospisilova D, de la Fuente J, Iskander D, Wolfe L, Liu JM, Shimamura A, Albrecht K, Lausen B, Bechensteen AG, Tedgard U, Puzik A, Quarello P, Ramenghi U, Bartels M, Hengartner H, Farah RA, Al Saleh M, Hamidieh AA, Yang W, Ito E, Kook H, Ovsyannikova G, Kager L, Gleizes PE, Dalle JH, Strahm B, Niemeyer CM, Lipton JM, Leblanc TM; international Diamond-Blackfan anaemia syndrome guideline panel
Lancet Haematol 2024 May;11(5):e368-e382. doi: 10.1016/S2352-3026(24)00063-2. PMID: 38697731Free PMC Article
Cervantes A, Adam R, Roselló S, Arnold D, Normanno N, Taïeb J, Seligmann J, De Baere T, Osterlund P, Yoshino T, Martinelli E; ESMO Guidelines Committee. Electronic address: clinicalguidelines@esmo.org
Ann Oncol 2023 Jan;34(1):10-32. Epub 2022 Oct 25 doi: 10.1016/j.annonc.2022.10.003. PMID: 36307056
Zielińska A, Włodarczyk M, Makaro A, Sałaga M, Fichna J
Crit Rev Oncol Hematol 2021 Jan;157:103122. Epub 2020 Oct 19 doi: 10.1016/j.critrevonc.2020.103122. PMID: 33171427

Curated

UK NICE Guideline NG151, Colorectal cancer, 2021

Suggested Reading

Recent clinical studies

Etiology

Jacobsson M, Wagner V, Kanneganti S
Surg Clin North Am 2024 Jun;104(3):595-607. Epub 2023 Dec 14 doi: 10.1016/j.suc.2023.11.009. PMID: 38677823
Sullivan BA, Noujaim M, Roper J
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Zhou E, Rifkin S
Gastroenterol Clin North Am 2021 Mar;50(1):101-111. doi: 10.1016/j.gtc.2020.10.012. PMID: 33518157
Baidoun F, Elshiwy K, Elkeraie Y, Merjaneh Z, Khoudari G, Sarmini MT, Gad M, Al-Husseini M, Saad A
Curr Drug Targets 2021;22(9):998-1009. doi: 10.2174/1389450121999201117115717. PMID: 33208072
Thanikachalam K, Khan G
Nutrients 2019 Jan 14;11(1) doi: 10.3390/nu11010164. PMID: 30646512Free PMC Article

Diagnosis

Klimeck L, Heisser T, Hoffmeister M, Brenner H
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Surg Oncol Clin N Am 2022 Apr;31(2):127-141. Epub 2022 Mar 9 doi: 10.1016/j.soc.2021.12.001. PMID: 35351269
Baidoun F, Elshiwy K, Elkeraie Y, Merjaneh Z, Khoudari G, Sarmini MT, Gad M, Al-Husseini M, Saad A
Curr Drug Targets 2021;22(9):998-1009. doi: 10.2174/1389450121999201117115717. PMID: 33208072
Thanikachalam K, Khan G
Nutrients 2019 Jan 14;11(1) doi: 10.3390/nu11010164. PMID: 30646512Free PMC Article

Therapy

Taniguchi H, Nakamura Y, Kotani D, Yukami H, Mishima S, Sawada K, Shirasu H, Ebi H, Yamanaka T, Aleshin A, Billings PR, Rabinowitz M, Oki E, Takemasa I, Kato T, Mori M, Yoshino T
Cancer Sci 2021 Jul;112(7):2915-2920. Epub 2021 Jun 7 doi: 10.1111/cas.14926. PMID: 33931919Free PMC Article
Heinemann V, von Weikersthal LF, Decker T, Kiani A, Kaiser F, Al-Batran SE, Heintges T, Lerchenmüller C, Kahl C, Seipelt G, Kullmann F, Moehler M, Scheithauer W, Held S, Miller-Phillips L, Modest DP, Jung A, Kirchner T, Stintzing S
Br J Cancer 2021 Feb;124(3):587-594. Epub 2020 Nov 6 doi: 10.1038/s41416-020-01140-9. PMID: 33154570Free PMC Article
Li J, Qin S, Xu RH, Shen L, Xu J, Bai Y, Yang L, Deng Y, Chen ZD, Zhong H, Pan H, Guo W, Shu Y, Yuan Y, Zhou J, Xu N, Liu T, Ma D, Wu C, Cheng Y, Chen D, Li W, Sun S, Yu Z, Cao P, Chen H, Wang J, Wang S, Wang H, Fan S, Hua Y, Su W
JAMA 2018 Jun 26;319(24):2486-2496. doi: 10.1001/jama.2018.7855. PMID: 29946728Free PMC Article
Cremolini C, Loupakis F, Antoniotti C, Lupi C, Sensi E, Lonardi S, Mezi S, Tomasello G, Ronzoni M, Zaniboni A, Tonini G, Carlomagno C, Allegrini G, Chiara S, D'Amico M, Granetto C, Cazzaniga M, Boni L, Fontanini G, Falcone A
Lancet Oncol 2015 Oct;16(13):1306-15. Epub 2015 Aug 31 doi: 10.1016/S1470-2045(15)00122-9. PMID: 26338525
Chua YJ, Cunningham D
Drugs Today (Barc) 2006 Nov;42(11):711-9. doi: 10.1358/dot.2006.42.11.1032061. PMID: 17171190

Prognosis

Li M, Cao S, Xu RH
Cancer Commun (Lond) 2025 Jul;45(7):774-788. Epub 2025 Mar 28 doi: 10.1002/cac2.70017. PMID: 40151897Free PMC Article
Siegel RL, Miller KD, Goding Sauer A, Fedewa SA, Butterly LF, Anderson JC, Cercek A, Smith RA, Jemal A
CA Cancer J Clin 2020 May;70(3):145-164. Epub 2020 Mar 5 doi: 10.3322/caac.21601. PMID: 32133645
Stoffel EM, Murphy CC
Gastroenterology 2020 Jan;158(2):341-353. Epub 2019 Aug 5 doi: 10.1053/j.gastro.2019.07.055. PMID: 31394082Free PMC Article
Arnold M, Sierra MS, Laversanne M, Soerjomataram I, Jemal A, Bray F
Gut 2017 Apr;66(4):683-691. Epub 2016 Jan 27 doi: 10.1136/gutjnl-2015-310912. PMID: 26818619
Brenner H, Kloor M, Pox CP
Lancet 2014 Apr 26;383(9927):1490-1502. Epub 2013 Nov 11 doi: 10.1016/S0140-6736(13)61649-9. PMID: 24225001

Clinical prediction guides

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Int J Mol Sci 2021 Jul 27;22(15) doi: 10.3390/ijms22158002. PMID: 34360768Free PMC Article
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Clin Transl Oncol 2020 Sep;22(9):1548-1564. Epub 2020 Feb 3 doi: 10.1007/s12094-020-02299-6. PMID: 32016676
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Recent systematic reviews

Camañes-Gonzalvo S, Montiel-Company JM, Lobo-de-Mena M, Safont-Aguilera MJ, Fernández-Diaz A, López-Roldán A, Paredes-Gallardo V, Bellot-Arcís C
J Periodontal Res 2024 Dec;59(6):1071-1082. Epub 2024 May 22 doi: 10.1111/jre.13289. PMID: 38775019Free PMC Article
Tanadi C, Tandarto K, Stella MM, Sutanto KW, Steffanus M, Tenggara R, Bestari MB
Rom J Intern Med 2024 Jun 1;62(2):101-123. Epub 2023 Dec 28 doi: 10.2478/rjim-2023-0038. PMID: 38153878
Ye J, Hu Y, Chen X, Chang C, Li K
Nutrients 2023 Jun 16;15(12) doi: 10.3390/nu15122772. PMID: 37375676Free PMC Article
Gkegkes ID, Minis EE, Iavazzo C
Ir J Med Sci 2018 Aug;187(3):615-620. Epub 2017 Nov 22 doi: 10.1007/s11845-017-1716-7. PMID: 29168152
Farinetti A, Zurlo V, Manenti A, Coppi F, Mattioli AV
Nutrition 2017 Nov-Dec;43-44:83-88. Epub 2017 Jul 8 doi: 10.1016/j.nut.2017.06.008. PMID: 28935150

Supplemental Content

Table of contents

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    Curated

    • NICE, 2021
      UK NICE Guideline NG151, Colorectal cancer, 2021

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