guideline

Clinical diagnosis – Amsterdam criteria,Besthesda guideline

Clinical Diagnostic Criteria for Hereditary Nonpolyposis Colon Cancer

Amsterdam Criteria (1991)
1. Three of more relatives, of whom two are first-degree relative of the third, with documented colorectal cancer
2. Cancer occurring across two or more generations
3. One or more cancers diagnosed before age 50
4. Familial adenomatous polyposis excluded
Bethesda Guidelines (1997)
1. Individuals who meet the Amsterdam criteria
2. Individual with two HNPCC-related cancers (synchronous/metachronous colorectal cancers or extracolonic cancers)
3. Individuals with colorectal cancer and a first-degree relative with
a. Colorectal cancer diagnosed before age 45 or
b. HNPCC-related extracolonic cancer diagnosed before age 45 or

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