LS-RC | MMR mutation rate (%) | Cumulative risk at age 70 years (%) | Diagnosis age (years) | Screening method | Starting age for surveillance | 5-year survival | Reference |
---|---|---|---|---|---|---|---|
CRC | MLH1:37.5-55.6 MSH2:33.8-50.0 MSH6:12.2-41.4 PMS2:9.6–57.9 | Mean:80 MLH1: 52-81.7 MLH2: 52-93.1 MSH6: 10-22 PMS2: 15–20 | Mean:45.7 Male:42 Female:47 MLH1:44 MSH2:43 MSH6:52 PMS2:46 | Colonoscopy every 1–2 years | MLH1 and MSH2 carriers: 20–25 years MSH6 and PMS2 carriers: 30–35 years | 79.2–84.2 | |
Endometrial cancer | MSH2:50-66 MLH1:24-40 MSH6:10-13 PMS2 9.6 | Mean:51 MLH1: 42 MSH2: 56 MSH6: 45 | Mean: 49-49.7 MLH1 or MSH2:48-62 MSH6:55 PMS2:49 | Gnecological examination, pelvic ultrasound and endometrial biopsy every year. After giving birth to hysterectomy. | 30–35 | 96.2 | |
Gastric cancer | NR | Male MLH1 or MSH2>32.8 Female MLH1 or MSH2>27.1 | Mean: 56-58.5 MLH1 or MSH2: 56 MSH6: 63 PMS2: 70–78 | Gastroscopy every 3–5 years and remove Helicobacter pylori completely | 30–35 or 40–45 | 61–64 | |
Lung cancer | NR | NR | 68.5 | Appropriate imaging examination screen and surveillance for carriers | NR | NR | |
Ovarian cancer | MLH1:38 MLH2:47 | MLH1 or MSH2: 11–24 MSH6:3-10 PMS2: 6 | Mean: 45-46 MLH1 or MSH2: 44 PMS2: 42 | Vaginal ultrasound and CA125 detection, bilateral fallopian tube-ovarian resection after childbirth | 30–35 | 52.5–59 | |
Small bowel cancer | NR | MLH1 or MSH2: 3–6 | MLH1 or MSH2: 47-49 MSH6: 54 PMS2: 59 | Upper gastrointestinal endoscopy every 3–5 years | 30–35 | NR | |
Urinary tract cancer | NR | 1-12.6 | MLH1 or MSH2: 54-60 MSH6: 65 | Urinalysis and ultrasound per year | 30–35 | 85–93 | |
Pancreatic cancer | NR | 3.68 | NR | Endoscopic ultrasound and magnetic resonance cholangiopancreatography based on individual conditions | NR | <5 | |
Central nervous tumors | NR | 1–3 | MLH1 or MSH2: 50 PMS2: 45 | Routine physical examination every year | 25–30 | 22 |