Which cancers are associated with Lynch syndrome?

Study for the American Board of Obstetrics and Gynecology (ABOG) Qualifying Exam. Hone your skills with flashcards and multiple choice questions, complete with hints and explanations. Prepare confidently for your exam!

Lynch syndrome, also known as hereditary nonpolyposis colorectal cancer (HNPCC), is primarily associated with an increased risk of certain cancers due to inherited mutations in mismatch repair (MMR) genes. The cancers most commonly linked to Lynch syndrome include colorectal cancer and endometrial cancer, which are regarded as hallmark tumors in affected individuals. Additionally, there is an increased risk for other malignancies such as stomach, ovarian, pancreatic, ureteral, and renal pelvis cancers.

The reason why the selection identifying colorectal, endometrial, stomach, and pancreatic cancers is accurate stems from the well-documented association of these specific cancers with Lynch syndrome. Regular screening and preventative measures are often recommended for individuals with Lynch syndrome due to their elevated risk for these malignancies, emphasizing the clinical significance of understanding this genetic predisposition.

The other options do not align with the established cancer associations recognized in Lynch syndrome. For example, breast and ovarian cancers are more strongly associated with BRCA1 and BRCA2 mutations, while other cancers such as skin and liver cancers do not have a clear, direct association with Lynch syndrome. This distinction highlights the importance of recognizing the precise relationship between genetic syndromes and their respective cancer risks.

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