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Table 1 Patient, polyp and family history characteristics

From: Advanced adenomas may be a red flag for hereditary cancer syndromes

  N = 42
Mean age at polyp diagnosis, years 44.6 (range 23–57)
Sex, n (%)
 Male 19 (45.2)
 Female 23 (54.8)
Personal History of Synchronous/Metachronous AA
 Yes 5 (11.9)
 No 37 (88.1)
FDR with CRC, n (%)
 Yes 10 (23.8)
 No 32 (76.2)
Colonoscopy Indication
 Symptoms 20 (47.6)
 Screening for FH of CRC 7 (16.7)
 Average Risk Screening 14 (33.3)
 Polyp Surveillance 1 (2.4)
Polyp Size, n (%)
  < 10 mm 2 (4.8)
 10–20 mm 21 (50.0)
 21–30 mm 16 (38.1)
 31–40 mm 2 (4.7)
  > 40 mm 1 (2.4)
Polyp Histology, n (%)
 Tubular adenoma 39 (92.9)
 Tubulovillous adenoma 2 (4.8)
 Villous adenoma 1 (2.4)
Immunohistochemistry Results
 Not performed 29 (69.0)
 Normal 12 (28.6)
 Absence of MLH1/PMS2 1 (2.4)
Meets Amsterdam II Criteria, n (%)
 Yes 3 (7.1)
 No 39 (92.9)
PREMM5 Score, n (%)
  ≥ 5 6 (14.3)
  ≥ 2.5 14 (33.3)
 Unable to calculate* 15 (35.7)
  1. FH Family History, CRC colorectal cancer, FDR First Degree Relative, CRC Colorectal Cancer, PREMM5 Lynch syndrome prediction model
  2. aPREMM5 can only be calculated if there is a personal or family history of cancer. A score of ≥5 meets NCCN criteria for genetic testing. Recent studies have shown increased sensitivity when PREMM5 score is ≥2.5, though this does not meet current NCCN criteria
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