Volume 9 Supplement 1

Proceedings of the 14th Annual Meeting of the Collaborative Group of the Americas on Inherited Colorectal Cancer

Open Access

Family history scoring system shows Familial Colorectal Cancer Type X syndrome individuals and Amsterdam I individuals have comparable risk for developing colon cancer

  • Matthew A Strohhacker1Email author,
  • James M Church2,
  • Janet Shenal1 and
  • Ellen McGannon1
Contributed equally
Hereditary Cancer in Clinical Practice20119(Suppl 1):P35

https://doi.org/10.1186/1897-4287-9-S1-P35

Published: 10 March 2011

Background

A points-based scoring system defines levels of familial risk for colorectal neoplasia. More than 7 points defines a high-risk group that should undergo colonoscopy every 3 years. Family History Scoring was applied to families fulfilling Amsterdam I criteria and familial colorectal cancer type X to compare colon cancer risk.

Methods

Amsterdam I (AmI) and familial type X (famX) families identified from Jagelman Registry database were scored. Affected probands (AP), unaffected probands (UP), affected sibling (AS), and unaffected sibling (US) of the proband, and a child of each sibling were scored. Median, range, and standard deviation were compared for each syndrome to determine level of risk.

Results

200 patients were included. 181 matched AmI criteria with genetic testing, 19 matched criteria for famX. 37 families with an AP and 12 with an UP matched AmI criteria. 4 with an AP and 3 with an UP that matched criteria for famX. Level of risk for the two syndromes were compared (Table 1). Median family history score was 12 points for individuals fulfilling AmI criteria and 14 for famX. Total mean was 12.8 for AmI and 13.5 for famX. Median was compared between the two syndromes (Figure 1), to assess level of risk.
Table 1

Comparing level of risk for AmI and famX (X) syndrome using Family History Scoring

  

AP

AP/AS

AP/US

AP/AS Child

AP/US Child

UP

UP/AS

UP/US

UP/AS Child

UP/US Child

Total Median

Median

AmI

17

18

17

12

5

12

16

12

9

4

12

 

X

14

17

14

14

4

12

15

12

N/A

N/A

14

Mean

AmI

18.0

21.0

17.3

13.1

5.2

12.4

15.2

12.5

9.0

4.4

12.8

 

X

13.5

17.0

13.5

14.0

4.0

11.3

15.0

11.3

N/A

N/A

13.5

Range

AmI

9-42

14-44

9-30

9-21

4-13

6-19

10-19

6-21

6-12

2-12

 
 

X

11-15

17

11-15

14

4

7-15

15

7-15

N/A

N/A

 

STDEV

AmI

6.3

7.0

4.7

3.4

2.0

4.4

3.5

4.7

2.9

3.4

4.0

 

X

1.9

N/A

1.9

N/A

0.0

4.0

N/A

4.0

N/A

N/A

1.9

Figure 1

Comparing median score of AmI and famX syndrome using Family History Scoring

Conclusions

Family history scoring system has shown that families fulfilling Amsterdam I criteria and familial type X share similar familial risk level for developing colon cancer. Both show dominant inheritance, but molecular pathways differ.

Notes

Authors’ Affiliations

(1)
Taussig Cancer Institute, Cleveland Clinic
(2)
Colorectal Surgery, Sanford R. Weiss Center for Hereditary Colorectal Neoplasia, Digestive Disease Institute, Cleveland Clinic

Copyright

© Strohhacker et al; licensee BioMed Central Ltd. 2011

This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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