Raras
Buscar doenças, sintomas, genes...
Síndrome Lynch
ORPHA:144CID-10 · C18.2CID-11 · 2B90.YDOENÇA RARA

Síndrome neoplásica hereditária autossômica dominante caracterizada pelo desenvolvimento de carcinoma colorretal e alto risco de desenvolver carcinoma endometrial, carcinoma gástrico, carcinoma ovariano, carcinoma renal da pelve e carcinoma do intestino delgado. Os pacientes geralmente desenvolvem carcinomas colorretais em idade precoce (média de 45 anos). Na maioria dos casos as lesões surgem do cólon proximal. No nível molecular, a instabilidade de microssatélites de alta frequência está presente.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

Síndrome neoplásica hereditária autossômica dominante caracterizada pelo desenvolvimento de carcinoma colorretal e alto risco de desenvolver carcinoma endometrial, carcinoma gástrico, carcinoma ovariano, carcinoma renal da pelve e carcinoma do intestino delgado. Os pacientes geralmente desenvolvem carcinomas colorretais em idade precoce (média de 45 anos). Na maioria dos casos as lesões surgem do cólon proximal. No nível molecular, a instabilidade de microssatélites de alta frequência está presente.

Pesquisas ativas
32 ensaios
149 total registrados no ClinicalTrials.gov
Publicações científicas
5.280 artigos
Último publicado: 2026

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Início
Adult
🏥
SUS: Sem cobertura SUSScore: 0%
CID-10: C18.2
Você se identifica com essa condição?
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🫃
Digestivo
10 sintomas
🧠
Neurológico
9 sintomas
🦴
Ossos e articulações
4 sintomas
🫘
Rins
3 sintomas
📏
Crescimento
3 sintomas
👁️
Olhos
2 sintomas

+ 27 sintomas em outras categorias

Características mais comuns

90%prev.
Fadiga
Muito frequente (99-80%)
90%prev.
Glioblastoma multiforme
Muito frequente (99-80%)
90%prev.
Constipação
Muito frequente (99-80%)
90%prev.
Hemorragia gastrointestinal
Muito frequente (99-80%)
90%prev.
Perda de peso
Muito frequente (99-80%)
90%prev.
Má absorção
Muito frequente (99-80%)
64sintomas
Muito frequente (9)
Frequente (16)
Ocasional (37)
Sem dados (2)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 64 características clínicas mais associadas, ordenadas por frequência.

FadigaFatigue
Muito frequente (99-80%)90%
Glioblastoma multiforme
Muito frequente (99-80%)90%
ConstipaçãoConstipation
Muito frequente (99-80%)90%
Hemorragia gastrointestinalGastrointestinal hemorrhage
Muito frequente (99-80%)90%
Perda de pesoWeight loss
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico5.280PubMed
Últimos 10 anos200publicações
Pico2026115 papers
Linha do tempo
2026Hoje · 2026🧪 1994Primeiro ensaio clínico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

9 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant.

EPCAMEpithelial cell adhesion moleculeDisease-causing germline mutation(s) inTolerante
FUNÇÃO

May act as a physical homophilic interaction molecule between intestinal epithelial cells (IECs) and intraepithelial lymphocytes (IELs) at the mucosal epithelium for providing immunological barrier as a first line of defense against mucosal infection. Plays a role in embryonic stem cells proliferation and differentiation. Up-regulates the expression of FABP5, MYC and cyclins A and E

LOCALIZAÇÃO

Lateral cell membraneCell junction, tight junction

VIAS BIOLÓGICAS (6)
Cell surface interactions at the vascular wallDevelopmental Lineage of Mammary Gland Luminal Epithelial CellsDevelopmental Lineage of Mammary Gland Alveolar CellsDevelopmental Lineage of Mammary Stem CellsDevelopmental Lineage of Mammary Gland Myoepithelial Cells
MECANISMO DE DOENÇA

Diarrhea 5, with tufting enteropathy, congenital

An intractable diarrhea of infancy characterized by villous atrophy and absence of inflammation, with intestinal epithelial cell dysplasia manifesting as focal epithelial tufts in the duodenum and jejunum.

EXPRESSÃO TECIDUAL(Ubíquo)
Cólon transverso
347.0 TPM
Intestino delgado
309.3 TPM
Tireoide
260.1 TPM
Rim - Medula
171.6 TPM
Pituitária
134.9 TPM
OUTRAS DOENÇAS (3)
Lynch syndrome 8congenital diarrhea 5 with tufting enteropathyLynch syndrome
HGNC:11529UniProt:P16422
MSH2DNA mismatch repair protein Msh2Disease-causing germline mutation(s) inRestrito
FUNÇÃO

Component of the post-replicative DNA mismatch repair system (MMR). Forms two different heterodimers: MutS alpha (MSH2-MSH6 heterodimer) and MutS beta (MSH2-MSH3 heterodimer) which binds to DNA mismatches thereby initiating DNA repair. When bound, heterodimers bend the DNA helix and shields approximately 20 base pairs. MutS alpha recognizes single base mismatches and dinucleotide insertion-deletion loops (IDL) in the DNA. MutS beta recognizes larger insertion-deletion loops up to 13 nucleotides

LOCALIZAÇÃO

NucleusChromosome

VIAS BIOLÓGICAS (5)
Mismatch repair (MMR) directed by MSH2:MSH6 (MutSalpha)TP53 Regulates Transcription of DNA Repair GenesMismatch repair (MMR) directed by MSH2:MSH3 (MutSbeta)Defective Mismatch Repair Associated With MSH3Defective Mismatch Repair Associated With MSH6
MECANISMO DE DOENÇA

Lynch syndrome 1

A form of Lynch syndrome, an autosomal dominant disease associated with marked increase in cancer susceptibility. It is characterized by a familial predisposition to early-onset colorectal carcinoma (CRC) and extra-colonic tumors of the gastrointestinal, urological and female reproductive tracts. Lynch syndrome is reported to be the most common form of inherited colorectal cancer in the Western world. Clinically, it is often divided into two subgroups. Type I is characterized by hereditary predisposition to colorectal cancer, a young age of onset, and carcinoma observed in the proximal colon. Type II is characterized by increased risk for cancers in certain tissues such as the uterus, ovary, breast, stomach, small intestine, skin, and larynx in addition to the colon. Diagnosis of classical Lynch syndrome is based on the Amsterdam criteria: 3 or more relatives affected by colorectal cancer, one a first degree relative of the other two; 2 or more generation affected; 1 or more colorectal cancers presenting before 50 years of age; exclusion of hereditary polyposis syndromes. The term 'suspected Lynch syndrome' or 'incomplete Lynch syndrome' can be used to describe families who do not or only partially fulfill the Amsterdam criteria, but in whom a genetic basis for colon cancer is strongly suspected.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
34.5 TPM
Cérebro - Hemisfério cerebelar
23.4 TPM
Testículo
21.1 TPM
Cerebelo
19.8 TPM
Fibroblastos
19.7 TPM
OUTRAS DOENÇAS (5)
Muir-Torre syndromemismatch repair cancer syndrome 2Lynch syndrome 1Lynch syndrome
HGNC:7325UniProt:P43246
KRASGTPase KRasBiomarker tested inAltamente restrito
FUNÇÃO

Ras proteins bind GDP/GTP and possess intrinsic GTPase activity (PubMed:20949621, PubMed:39809765). Plays an important role in the regulation of cell proliferation (PubMed:22711838, PubMed:23698361). Activates MAPK1/MAPK3 resulting in phosphorylation and ultimately degradation of GJA1 (By similarity). Plays a role in promoting oncogenic events by inducing transcriptional silencing of tumor suppressor genes (TSGs) in colorectal cancer (CRC) cells in a ZNF304-dependent manner (PubMed:24623306)

LOCALIZAÇÃO

Cell membraneEndomembrane systemCytoplasm, cytosol

VIAS BIOLÓGICAS (2)
Signaling by moderate kinase activity BRAF mutantsRUNX3 regulates p14-ARF
MECANISMO DE DOENÇA

Leukemia, acute myelogenous

A subtype of acute leukemia, a cancer of the white blood cells. AML is a malignant disease of bone marrow characterized by maturational arrest of hematopoietic precursors at an early stage of development. Clonal expansion of myeloid blasts occurs in bone marrow, blood, and other tissue. Myelogenous leukemias develop from changes in cells that normally produce neutrophils, basophils, eosinophils and monocytes.

EXPRESSÃO TECIDUAL(Ubíquo)
Nervo tibial
30.7 TPM
Cérebro - Hemisfério cerebelar
25.1 TPM
Esôfago - Muscular
22.2 TPM
Esôfago - Mucosa
21.6 TPM
Esôfago - Junção
20.2 TPM
OUTRAS DOENÇAS (20)
gastric canceracute myeloid leukemialinear nevus sebaceous syndromeNoonan syndrome 3
HGNC:6407UniProt:P01116
TGFBR2TGF-beta receptor type-2Candidate gene tested inRestrito
FUNÇÃO

Transmembrane serine/threonine kinase forming with the TGF-beta type I serine/threonine kinase receptor, TGFBR1, the non-promiscuous receptor for the TGF-beta cytokines TGFB1, TGFB2 and TGFB3. Transduces the TGFB1, TGFB2 and TGFB3 signal from the cell surface to the cytoplasm and thus regulates a plethora of physiological and pathological processes including cell cycle arrest in epithelial and hematopoietic cells, control of mesenchymal cell proliferation and differentiation, wound healing, extr

LOCALIZAÇÃO

Cell membraneMembrane raftSecreted

VIAS BIOLÓGICAS (8)
TGF-beta receptor signaling activates SMADsDownregulation of TGF-beta receptor signalingUCH proteinasesTGF-beta receptor signaling in EMT (epithelial to mesenchymal transition)TGFBR1 LBD Mutants in Cancer
MECANISMO DE DOENÇA

Hereditary non-polyposis colorectal cancer 6

An autosomal dominant disease associated with marked increase in cancer susceptibility. It is characterized by a familial predisposition to early-onset colorectal carcinoma (CRC) and extra-colonic tumors of the gastrointestinal, urological and female reproductive tracts. HNPCC is reported to be the most common form of inherited colorectal cancer in the Western world. Clinically, HNPCC is often divided into two subgroups. Type I is characterized by hereditary predisposition to colorectal cancer, a young age of onset, and carcinoma observed in the proximal colon. Type II is characterized by increased risk for cancers in certain tissues such as the uterus, ovary, breast, stomach, small intestine, skin, and larynx in addition to the colon. Diagnosis of classical HNPCC is based on the Amsterdam criteria: 3 or more relatives affected by colorectal cancer, one a first degree relative of the other two; 2 or more generation affected; 1 or more colorectal cancers presenting before 50 years of age; exclusion of hereditary polyposis syndromes. The term 'suspected HNPCC' or 'incomplete HNPCC' can be used to describe families who do not or only partially fulfill the Amsterdam criteria, but in whom a genetic basis for colon cancer is strongly suspected.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
377.2 TPM
Tecido adiposo
319.8 TPM
Adipose Visceral Omentum
301.0 TPM
Mama
271.8 TPM
Nervo tibial
261.1 TPM
OUTRAS DOENÇAS (7)
Loeys-Dietz syndrome 2esophageal cancercolorectal cancer, hereditary nonpolyposis, type 6familial thoracic aortic aneurysm and aortic dissection
HGNC:11773UniProt:P37173
PMS2Mismatch repair endonuclease PMS2Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the post-replicative DNA mismatch repair system (MMR) (PubMed:30653781, PubMed:35189042). Heterodimerizes with MLH1 to form MutL alpha. DNA repair is initiated by MutS alpha (MSH2-MSH6) or MutS beta (MSH2-MSH3) binding to a dsDNA mismatch, then MutL alpha is recruited to the heteroduplex. Assembly of the MutL-MutS-heteroduplex ternary complex in presence of RFC and PCNA is sufficient to activate endonuclease activity of PMS2. It introduces single-strand breaks near the mismatch and

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (4)
Mismatch repair (MMR) directed by MSH2:MSH6 (MutSalpha)Mismatch repair (MMR) directed by MSH2:MSH3 (MutSbeta)TP53 Regulates Transcription of DNA Repair GenesDefective Mismatch Repair Associated With MLH1
MECANISMO DE DOENÇA

Lynch syndrome 4

A form of Lynch syndrome, an autosomal dominant disease associated with marked increase in cancer susceptibility. It is characterized by a familial predisposition to early-onset colorectal carcinoma (CRC) and extra-colonic tumors of the gastrointestinal, urological and female reproductive tracts. Lynch syndrome is reported to be the most common form of inherited colorectal cancer in the Western world. Clinically, it is often divided into two subgroups. Type I is characterized by hereditary predisposition to colorectal cancer, a young age of onset, and carcinoma observed in the proximal colon. Type II is characterized by increased risk for cancers in certain tissues such as the uterus, ovary, breast, stomach, small intestine, skin, and larynx in addition to the colon. Diagnosis of classical Lynch syndrome is based on the Amsterdam criteria: 3 or more relatives affected by colorectal cancer, one a first degree relative of the other two; 2 or more generation affected; 1 or more colorectal cancers presenting before 50 years of age; exclusion of hereditary polyposis syndromes. The term 'suspected Lynch syndrome' or 'incomplete Lynch syndrome' can be used to describe families who do not or only partially fulfill the Amsterdam criteria, but in whom a genetic basis for colon cancer is strongly suspected.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
22.4 TPM
Cérebro - Hemisfério cerebelar
17.8 TPM
Cerebelo
16.4 TPM
Fibroblastos
15.2 TPM
Skin Sun Exposed Lower leg
14.0 TPM
OUTRAS DOENÇAS (4)
mismatch repair cancer syndrome 4Lynch syndrome 4mismatch repair cancer syndromeLynch syndrome
HGNC:9122UniProt:P54278
MLH1DNA mismatch repair protein Mlh1Disease-causing germline mutation(s) inRestrito
FUNÇÃO

Heterodimerizes with PMS2 to form MutL alpha, a component of the post-replicative DNA mismatch repair system (MMR). DNA repair is initiated by MutS alpha (MSH2-MSH6) or MutS beta (MSH2-MSH3) binding to a dsDNA mismatch, then MutL alpha is recruited to the heteroduplex. Assembly of the MutL-MutS-heteroduplex ternary complex in presence of RFC and PCNA is sufficient to activate endonuclease activity of PMS2. It introduces single-strand breaks near the mismatch and thus generates new entry points f

LOCALIZAÇÃO

NucleusChromosome

VIAS BIOLÓGICAS (5)
Mismatch repair (MMR) directed by MSH2:MSH6 (MutSalpha)Mismatch repair (MMR) directed by MSH2:MSH3 (MutSbeta)TP53 Regulates Transcription of DNA Repair GenesMeiotic recombinationDefective Mismatch Repair Associated With PMS2
MECANISMO DE DOENÇA

Lynch syndrome 2

A form of Lynch syndrome, an autosomal dominant disease associated with marked increase in cancer susceptibility. It is characterized by a familial predisposition to early-onset colorectal carcinoma (CRC) and extra-colonic tumors of the gastrointestinal, urological and female reproductive tracts. Lynch syndrome is reported to be the most common form of inherited colorectal cancer in the Western world. Clinically, it is often divided into two subgroups. Type I is characterized by hereditary predisposition to colorectal cancer, a young age of onset, and carcinoma observed in the proximal colon. Type II is characterized by increased risk for cancers in certain tissues such as the uterus, ovary, breast, stomach, small intestine, skin, and larynx in addition to the colon. Diagnosis of classical Lynch syndrome is based on the Amsterdam criteria: 3 or more relatives affected by colorectal cancer, one a first degree relative of the other two; 2 or more generation affected; 1 or more colorectal cancers presenting before 50 years of age; exclusion of hereditary polyposis syndromes. The term 'suspected Lynch syndrome' or 'incomplete Lynch syndrome' can be used to describe families who do not or only partially fulfill the Amsterdam criteria, but in whom a genetic basis for colon cancer is strongly suspected.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
48.5 TPM
Testículo
44.5 TPM
Fibroblastos
33.8 TPM
Pituitária
33.4 TPM
Cervix Ectocervix
33.1 TPM
OUTRAS DOENÇAS (6)
Lynch syndrome 2Muir-Torre syndromeLynch syndromeLynch syndrome 1
HGNC:7127UniProt:P40692
PMS1PMS1 protein homolog 1Candidate gene tested inTolerante
FUNÇÃO

Probably involved in the repair of mismatches in DNA

LOCALIZAÇÃO

Nucleus

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
31.8 TPM
Cervix Ectocervix
17.6 TPM
Linfócitos
17.5 TPM
Cervix Endocervix
16.8 TPM
Fibroblastos
15.1 TPM
OUTRAS DOENÇAS (1)
Lynch syndrome
HGNC:9121UniProt:P54277
PIK3CAPhosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha isoformBiomarker tested inAltamente restrito
FUNÇÃO

Phosphoinositide-3-kinase (PI3K) phosphorylates phosphatidylinositol (PI) and its phosphorylated derivatives at position 3 of the inositol ring to produce 3-phosphoinositides (PubMed:15135396, PubMed:23936502, PubMed:28676499). Uses ATP and PtdIns(4,5)P2 (phosphatidylinositol 4,5-bisphosphate) to generate phosphatidylinositol 3,4,5-trisphosphate (PIP3) (PubMed:15135396, PubMed:28676499). PIP3 plays a key role by recruiting PH domain-containing proteins to the membrane, including AKT1 and PDPK1,

LOCALIZAÇÃO

VIAS BIOLÓGICAS (10)
Signaling by LTK in cancerNephrin family interactionsIRS-mediated signallingTie2 SignalingDAP12 signaling
EXPRESSÃO TECIDUAL(Ubíquo)
Artéria tibial
23.2 TPM
Linfócitos
22.4 TPM
Nervo tibial
21.4 TPM
Tecido adiposo
20.5 TPM
Fibroblastos
20.5 TPM
OUTRAS DOENÇAS (28)
seborrheic keratosismegalodactylyovarian cancerhepatocellular carcinoma
HGNC:8975UniProt:P42336
MSH6DNA mismatch repair protein Msh6Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the post-replicative DNA mismatch repair system (MMR). Heterodimerizes with MSH2 to form MutS alpha, which binds to DNA mismatches thereby initiating DNA repair. When bound, MutS alpha bends the DNA helix and shields approximately 20 base pairs, and recognizes single base mismatches and dinucleotide insertion-deletion loops (IDL) in the DNA. After mismatch binding, forms a ternary complex with the MutL alpha heterodimer, which is thought to be responsible for directing the downstrea

LOCALIZAÇÃO

NucleusChromosome

VIAS BIOLÓGICAS (2)
Mismatch repair (MMR) directed by MSH2:MSH6 (MutSalpha)Defective Mismatch Repair Associated With MSH2
MECANISMO DE DOENÇA

Lynch syndrome 5

A form of Lynch syndrome, an autosomal dominant disease associated with marked increase in cancer susceptibility. It is characterized by a familial predisposition to early-onset colorectal carcinoma (CRC) and extra-colonic tumors of the gastrointestinal, urological and female reproductive tracts. Lynch syndrome is reported to be the most common form of inherited colorectal cancer in the Western world. Clinically, it is often divided into two subgroups. Type I is characterized by hereditary predisposition to colorectal cancer, a young age of onset, and carcinoma observed in the proximal colon. Type II is characterized by increased risk for cancers in certain tissues such as the uterus, ovary, breast, stomach, small intestine, skin, and larynx in addition to the colon. Diagnosis of classical Lynch syndrome is based on the Amsterdam criteria: 3 or more relatives affected by colorectal cancer, one a first degree relative of the other two; 2 or more generation affected; 1 or more colorectal cancers presenting before 50 years of age; exclusion of hereditary polyposis syndromes. The term 'suspected Lynch syndrome' or 'incomplete Lynch syndrome' can be used to describe families who do not or only partially fulfill the Amsterdam criteria, but in whom a genetic basis for colon cancer is strongly suspected.

EXPRESSÃO TECIDUAL(Ubíquo)
Ovário
40.1 TPM
Testículo
29.0 TPM
Útero
28.4 TPM
Linfócitos
26.3 TPM
Cervix Endocervix
21.9 TPM
OUTRAS DOENÇAS (5)
mismatch repair cancer syndrome 3Lynch syndrome 5Lynch syndromemismatch repair cancer syndrome
HGNC:7329UniProt:P52701

Variantes genéticas (ClinVar)

5,046 variantes patogênicas registradas no ClinVar.

🧬 EPCAM: NM_002354.3(EPCAM):c.455C>A (p.Ala152Glu) ()
🧬 EPCAM: NM_002354.3(EPCAM):c.904-158A>G ()
🧬 EPCAM: NM_002354.3(EPCAM):c.556-3C>G ()
🧬 EPCAM: NM_002354.3(EPCAM):c.225del (p.Ser76fs) ()
🧬 EPCAM: GRCh37/hg19 2p21-16.3(chr2:47574068-47868526)x1 ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 11,544 variantes classificadas pelo ClinVar.

10967
577
Patogênica (95.0%)
VUS (5.0%)
VARIANTES MAIS SIGNIFICATIVAS
PMS2: NM_000535.7(PMS2):c.2293del (p.Ala765fs) [Pathogenic]
MSH6: NM_000179.3(MSH6):c.3923_3953dup (p.Arg1318delinsSerProArgGlySerTyrSerLysGlyThrT... [Pathogenic]
MSH6: NM_000179.3(MSH6):c.574G>T (p.Glu192Ter) [Pathogenic]
MSH6: NM_000179.3(MSH6):c.1306dup (p.Tyr436fs) [Pathogenic]
MSH6: NM_000179.3(MSH6):c.3109_3111delinsG (p.Phe1037fs) [Pathogenic]

Vias biológicas (Reactome)

79 vias biológicas associadas aos genes desta condição.

Cell surface interactions at the vascular wall Attachment of bacteria to epithelial cells Developmental Lineage of Mammary Gland Luminal Epithelial Cells Developmental Lineage of Mammary Gland Alveolar Cells Developmental Lineage of Mammary Gland Myoepithelial Cells Developmental Lineage of Mammary Stem Cells Mismatch repair (MMR) directed by MSH2:MSH6 (MutSalpha) Mismatch repair (MMR) directed by MSH2:MSH3 (MutSbeta) Defective Mismatch Repair Associated With MSH3 Defective Mismatch Repair Associated With MSH2 Defective Mismatch Repair Associated With MSH6 TP53 Regulates Transcription of DNA Repair Genes SOS-mediated signalling Activation of RAS in B cells Constitutive Signaling by Ligand-Responsive EGFR Cancer Variants SHC1 events in ERBB2 signaling SHC1 events in ERBB4 signaling Signaling by SCF-KIT Signalling to RAS p38MAPK events GRB2 events in EGFR signaling SHC1 events in EGFR signaling Downstream signal transduction GRB2 events in ERBB2 signaling Tie2 Signaling EGFR Transactivation by Gastrin DAP12 signaling SHC-related events triggered by IGF1R FCERI mediated MAPK activation NCAM signaling for neurite out-growth Ca2+ pathway Ras activation upon Ca2+ influx through NMDA receptor VEGFR2 mediated cell proliferation CD209 (DC-SIGN) signaling Constitutive Signaling by EGFRvIII SHC-mediated cascade:FGFR1 FRS-mediated FGFR1 signaling SHC-mediated cascade:FGFR2 FRS-mediated FGFR2 signaling SHC-mediated cascade:FGFR3 FRS-mediated FGFR3 signaling FRS-mediated FGFR4 signaling Downregulation of TGF-beta receptor signaling TGF-beta receptor signaling activates SMADs TGF-beta receptor signaling in EMT (epithelial to mesenchymal transition) SMAD2/3 Phosphorylation Motif Mutants in Cancer TGFBR2 MSI Frameshift Mutants in Cancer TGFBR2 Kinase Domain Mutants in Cancer TGFBR1 KD Mutants in Cancer TGFBR1 LBD Mutants in Cancer UCH proteinases TGFBR3 regulates TGF-beta signaling Defective Mismatch Repair Associated With MLH1 Defective Mismatch Repair Associated With PMS2 Meiotic recombination PI3K Cascade IRS-mediated signalling GPVI-mediated activation cascade PI3K events in ERBB4 signaling PIP3 activates AKT signaling Synthesis of PIPs at the plasma membrane GAB1 signalosome Signaling by cytosolic FGFR1 fusion mutants PI3K events in ERBB2 signaling PI3K/AKT activation Signaling by ALK Downstream TCR signaling Role of phospholipids in phagocytosis Constitutive Signaling by Aberrant PI3K in Cancer Role of LAT2/NTAL/LAB on calcium mobilization Nephrin family interactions CD28 dependent PI3K/Akt signaling G alpha (q) signalling events VEGFA-VEGFR2 Pathway Interleukin-3, Interleukin-5 and GM-CSF signaling PI-3K cascade:FGFR1 PI-3K cascade:FGFR2 PI-3K cascade:FGFR3 PI-3K cascade:FGFR4

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
3Fase 32
2Fase 22
1Fase 12
·Pré-clínico14
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 20 ensaios
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Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Síndrome Lynch

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Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

15 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

149 ensaios clínicos encontrados, 32 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

💬Melhor nível de evidência: Opinião
Timeline de publicações
3.705 papers (10 anos)

Mostrando amostra de 200 publicações de um total de 3.705

#1

Analysis of structure and conservation for supporting functional evaluation of PMS2 missense variants.

European journal of human genetics : EJHG2026 Mar 18

Germline defects in mismatch repair (MMR) genes are known to significantly increase the risk of developing certain types of cancers, notably colorectal and endometrial cancers. These conditions are characterized under Lynch syndrome. Accurate diagnosis of this predisposition, along with meaningful predictive testing for family members, necessitates the identification of pathogenic variants. However, classifying small coding genetic variants identified in cancer patients is very challenging, specifically in the case of PMS2 variants, since PMS2 pathogenic variants display a lower penetrance and less severe phenotype and therefore a lower tumor burden in affected families. We have assembled clinical data on four PMS2 missense variants of uncertain significance (VUS) identified in 23 patients (p.(Asp286Gly), p.(Asn335Ser), p.(Ile679Thr) and p.(Arg799Trp)). For these variants, functional testing was performed (RNA splicing, protein stability and catalytic activity). Since many protein ortholog sequences and accurate predictive models from AlphaFold2 are available, we also included a systematic analysis of residue conservation and structural role (ConStruct assessment). Overall, our findings indicate that p.(Asp286Gly) and p.(Arg799Trp) behave similarly to wild-type PMS2 and are thus probably neutral. In contrast, p.(Asn335Ser) and p.(Ile679Thr) conferred defects in protein expression or MMR activity. These could be explained by the relevant roles of these amino acids in MLH1-PMS2-N-terminal dimerization (p.Asn335) and C-terminal dimerization (p.Ile679). Our data thus suggest that p.(Asp286Gly) and p.(Arg799Trp) are benign, while the tumor risk in the other two variants remains to be established. Taken together, we suggest roadmaps for the individualized evaluation of difficult uncertain variants by comprising information from all available sources.

#2

A paradigm shift in genetic predisposition to colorectal cancer: the impact of germline multigene panel testing on diagnosis and management.

International journal of clinical oncology2026 Mar 16

Hereditary colorectal cancer (HCRC), arising from pathogenic germline variants, accounts for 5-10% of all CRCs. The widespread clinical adoption of next-generation sequencing (NGS) and multigene panel testing (MGPT) has fundamentally transformed the diagnostic paradigm for this genetic predisposition. This review summarizes the latest epidemiological data on genetic predisposition to CRC and examines the essential practical changes required for genomics-based precision medicine. Recent large-scale genomic cohort studies have consistently revealed a higher prevalence of pathogenic/likely pathogenic germline variants (PGVs) in unselected CRC populations than previously recognized, ranging from 3.3 to 15.5%. This proportion is dramatically elevated in patients with early onset CRC (EOCRC), defined as a diagnosis before age 50, where prevalence consistently exceeds 15%. Notably, MGPT has expanded the etiological spectrum far beyond Lynch syndrome (LS)-related genes, demonstrating a significant contribution from non-LS and high- and moderate-penetrance genes, particularly those associated with homologous recombination deficiency (HRD). Consequently, the management of genetic predisposition to CRC is rapidly shifting from single syndrome-based diagnoses to individualized precision medicine guided by gene-specific lifetime cancer risks. To realize clinical benefits, two imperatives must be addressed: (1) the implementation of universal genomic screening for all patients with EOCRC and (2) the development of proactive medical-contact approach models in cascade screening for at-risk relatives. Nevertheless, the viability of this proposal varies considerably between Europe, America, and Asia. Considerable uncertainty surrounds implementation in Asia, where a plethora of challenges must be overcome to facilitate the integration of genomic medicine within the Asian context.

#3

Underutilization of Genetic Counseling and Germline Testing Following Abnormal Mismatch Repair Immunohistochemistry in Colorectal Cancer.

Digestive diseases and sciences2026 Mar 08

This study aimed to assess referral patterns for genetic counseling among colorectal cancer patients with MLH1, PMS2, MSH2 or MSH6 loss, evaluate the completion rates of germline genetic testing in eligible patients, and identify barriers to genetic evaluation in this population. We conducted a retrospective chart review of 102 patients with CRC who demonstrated loss of MLH1, PMS2, MSH2, or MSH6 expression on MMR immunohistochemistry between January 2022 and December 2024 across a large healthcare system. In cases with MLH1 loss, reflex tumor testing for BRAF V600E mutation and MLH1 promoter hypermethylation was used to exclude likely sporadic etiologies. Patients with BRAF mutation or MLH1 promoter hypermethylation were excluded, resulting in a final sample of 63 patients eligible for genetic counseling referral. Data collected included demographic characteristics, MMR protein status, site of care (university or community), referral to genetic counseling, completion of germline testing, and documented barriers to referral or follow-through. Among the 63 eligible patients, the mean age was 69.8 years, and 55.6% were female. The cohort included 60.3% White, 30.2% African American, and 9.5% Asian patients. A total of 36.5% were seen at a university hospital and 63.5% at community hospitals. In adjusted analyses, patient age was the only characteristic significantly associated with referral, with patients aged ≤60 years more likely to be referred than older patients. Despite meeting eligibility, only 38% of patients were referred for genetic counseling. Of those referred, 54.2% completed germline testing, representing 20.6% of the total cohort. The most common barrier was lack of provider referral, affecting 63% of patients. Despite clear eligibility criteria, fewer than 40% of patients were referred to genetic counseling, and only one in five completed germline testing. The most significant barrier was the lack of provider referral. These findings highlight the need for system-level interventions, including automated referrals, improved communication tools, and navigation support to ensure access to genetic services.

#4

"Where do I go from here?" Navigating a lifelong road without a map: the care experiences of hereditary cancer patients.

European journal of human genetics : EJHG2026 Mar 03

Individuals with hereditary cancer syndromes (HCS) face significant healthcare challenges, as they require lifelong surveillance for a multitude of at-risk organs. Despite the existence of HCS programs, literature has not elucidated the patient perspective of living with an HCS and the care journey. This study aimed to inform clinical practice by exploring the care experiences of HCS patients. HCS patients were purposely sampled from cancer/genetic clinics across three Canadian provinces to reflect demographic and clinical variations. Data collection included qualitative, semi-structured interviews. Analysis used interpretive descriptive methodology. Seventy-three participants were interviewed (39 Hereditary breast and ovarian cancer syndrome, 34 Lynch syndrome; 51 females, 21 males, 1 gender-diverse; aged 25-80). Participants described a sense of disorientation after their HCS diagnosis, with a sense of navigating a road without a map. These feelings emerged from the "fragmentation" of their care, bodies, and information from healthcare practitioners. Consequently, participants described experiencing uncertainty and distress, and desired care integration in the form of consistent, knowledgeable practitioners and a holistic approach to care. Key timepoints were revealed where increased psychological support may be required: following HCS diagnosis, when obtaining imaging results, and when undergoing risk-reducing surgery. This study highlights the need for a comprehensive, person-centered approach to HCS management.

#5

Universal tumor screening and mainstream genetic testing for Lynch syndrome in colorectal cancer: a scoping review of barriers and facilitators.

European journal of human genetics : EJHG2026 Mar 02

Patients with colorectal cancer (CRC) and Lynch syndrome (LS) have elevated cancer risks and require personalized treatment and targeted surveillance. At-risk relatives can also benefit from preventive measures. However, LS remains largely undiagnosed. Integration of universal tumor screening (UTS) with mainstream genetic testing in patients with CRC has been recommended, but implementation of this approach remains inconsistent. This scoping review mapped evidence on barriers and facilitators in diagnostic pathways that integrate UTS and mainstream genetic testing for LS in CRC. A search of MEDLINE, Scopus, CINAHL and PsycINFO was conducted, and five articles were selected. Barriers and facilitators were mapped to the Theoretical Domains Framework (TDF). The most frequently mapped domains were Environmental Context and Resources (in 5/5 articles) Social/Professional Role and Identity, Beliefs about Consequences, Social Influences, and Behavioral Regulation (all in 4/5 articles). Barriers included insufficient clinician education, difficulties in navigating consent processes and interpreting testing results, and perceived lack of evidence demonstrating the benefit of genetic testing. Unclear and conflicting perceptions among different professional groups about who should be responsible for essential components of genetic testing and follow-up also emerged. Social Influences such as strong leadership, collaboration, and networked support from "champions" acted as key facilitators. Mechanisms of Behavioral Regulation, including audit, feedback, and ongoing education, as well as appropriate resourcing, were identified as essential for sustaining practice change. Future studies could usefully explore patients' views and preferences regarding novel diagnostic pathways for LS in CRC that align UTS and mainstream genetic testing, as well as strategies developed and implemented in low-resource settings.

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📚 EuropePMC2.763 artigos no totalmostrando 200

2026

Prevention strategies for hereditary gynaecological cancer in Lynch syndrome.

Familial cancer
2026

Comments on "The diagnostic potential of urinary volatile organic compounds for colorectal neoplasia in Lynch syndrome-A prospective longitudinal study".

International journal of cancer
2026

Comparison of clinical, pathological and genomic characteristics between Lynch and non-Lynch patients with MMRd endometrial carcinoma.

BMC cancer
2026

Appendiceal Goblet Cell Adenocarcinoma With Mismatch Repair Deficiency and Microsatellite Instability-High Status: A Novel Molecular Signature Guiding Immuno-Oncology Strategy.

Pathology international
2026

Patients' and family members' experiences with cascade testing for Lynch syndrome in the USA: a qualitative interview study.

Journal of community genetics
2026

Increasing awareness of effective laboratory test utilization via case-based microlearning.

American journal of clinical pathology
2026

Uptake and timing of risk-reducing gynecologic surgery among individuals with Lynch syndrome identified via population screening.

Familial cancer
2026

Utilization of care and alignment of screening with NCCN guidelines for patients with Lynch syndrome: a retrospective cohort study.

Hereditary cancer in clinical practice
2026

Analysis of structure and conservation for supporting functional evaluation of PMS2 missense variants.

European journal of human genetics : EJHG
2026

Molecular Profiling of Germline Variants in the DNA Mismatch Repair Genes in Chinese Colorectal Cancer Patients.

Genetics research
2026

Letter: Fecal VOCs in Lynch Syndrome: Sample Stability, Specificity and Statistical Validation.

Alimentary pharmacology &amp; therapeutics
2026

A paradigm shift in genetic predisposition to colorectal cancer: the impact of germline multigene panel testing on diagnosis and management.

International journal of clinical oncology
2026

Muir-Torre Syndrome: A Rare Case Report and Review of Literature.

Clinical, cosmetic and investigational dermatology
2026

Colonoscopy surveillance in Lynch syndrome: what it prevents and what it does not.

Journal of medical genetics
2026

[Advanced colorectal cancer in a 19-year-old male patient with Lynch syndrome:a case report].

Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology
2026

Compliance of Dermatology Screening Visits Among Patients With Skin Cancer-Predisposing Pathogenic Variants.

JEADV clinical practice
2026

Oncological Genetic Counseling in Hereditary Breast and Ovarian Cancers and Lynch Syndrome High-Risk Subjects: Evaluation of Efficacy and Outcomes Using the Genomics Outcome Scale.

Human mutation
2026

Broader Familial Cancer Risk in Relatives of Testicular Cancer Patients: Insights From Two Mediterranean Populations.

Andrology
2026

Experiences of patients and public partners in codesign of Lynch Choices™: an evaluation study using the Patient Engagement In Research Scale (PEIRS-22).

Research involvement and engagement
2025

Radiomics in sporadic microsatellite instable, mismatch repair deficient and Lynch syndrome-associated pancreatic ductal adenocarcinoma: a pilot study.

Frontiers in oncology
2026

High-grade gliomas and Lynch syndrome: A retrospective descriptive study with a literature review.

Neuro-oncology practice
2026

Neurogenetic tumor syndromes: The current landscape of workup and treatment.

Neuro-oncology practice
2026

Underutilization of Genetic Counseling and Germline Testing Following Abnormal Mismatch Repair Immunohistochemistry in Colorectal Cancer.

Digestive diseases and sciences
2026

The gut microbiome as a biomarker and modifiable risk factor in Lynch Syndrome.

Familial cancer
2026

A broad-range polymerase chain reaction on a formalin-fixed, paraffin-embedded tissue is a powerful diagnostic tool, but requires cautious interpretation: a case report.

Frontiers in medicine
2026

Clinicopathologic, molecular and tumor immune microenvironment features of mismatch repair-deficient glioblastomas in Lynch syndrome: a multicenter study of 29 cases with therapeutic implications.

Acta neuropathologica communications
2026

"Where do I go from here?" Navigating a lifelong road without a map: the care experiences of hereditary cancer patients.

European journal of human genetics : EJHG
2026

Microglandular adenosis, triple negative breast carcinoma and DNA repair defects.

Journal of clinical pathology
2026

Risk of Metachronous Colorectal Cancer After Segmental or Extended Resection in Patients with Lynch Syndrome.

Journal of the American College of Surgeons
2026

Universal tumor screening and mainstream genetic testing for Lynch syndrome in colorectal cancer: a scoping review of barriers and facilitators.

European journal of human genetics : EJHG
2026

Familial colorectal cancer: risk factors, screening strategies and personalized medicine.

Cancer genetics
2026

The Vital Role of Family Physicians in the Screening and Early Detection of Lynch Syndrome: A Case Report.

Cureus
2026

Risk of Non-colorectal Malignancies in Sporadic Versus Lynch Syndrome-associated dMMR Colorectal Cancer.

Anticancer research
2026

Improving care for Lynch syndrome patients: integrating surveillance into England's national bowel cancer screening programme.

Familial cancer
2026

Comparing theory-driven and intuition-based approaches to inform implementation strategies in practice: an exploratory two-arm cluster-randomized head-to-head implementation trial.

JBI evidence implementation
2026

From theory to practice: improving Lynch syndrome recognition through evidence-based education.

Familial cancer
2026

Global Proteomic Analysis of Colorectal Cancers Stratified by Microsatellite Instability Subtype Reveals Protein Differences.

bioRxiv : the preprint server for biology
2026

Immunotherapy in Synchronous Gastric and Colonic Deficient Mismatch Repair Malignancies in a Case Series of Patients With Lynch Syndrome.

JCO precision oncology
2026

Neoplasia outcomes following colonoscopy for Lynch syndrome at a dedicated center vs. community centers.

Endoscopy international open
2026

Digital multiplex ligation-dependent probe amplification identifies exon-level copy number variants in patients with suspected hereditary cancer and negative next-generation sequencing results.

Molecular biology reports
2026

Case Report: A case of Lynch syndrome-related glioblastoma with coexisting MSH2 splicing defect and MSH6 frameshift mutation.

Frontiers in oncology
2026

Beyond Asbestos: Malignant Pleural Mesothelioma Revealing Lynch Syndrome Through Mismatch Repair Deficiency.

Cureus
2026

Toward Timely Diagnosis of Pancreatic Cancer: Revolutionizing Early Detection Through Genomics, Artificial Intelligence, and Noninvasive Biomarkers.

Journal of gastroenterology and hepatology
2026

Hereditary Endometrial Cancer: Lynch Syndrome, Mismatch Repair Deficiency, and Emerging Genetic Predispositions-A Comprehensive Review with Clinical and Laboratory Guidelines.

International journal of molecular sciences
2026

Second Primary Malignancies in Patients with Colorectal Cancer: The Frequency, Types, and Timeline.

Journal of clinical medicine
2026

Lynch Syndrome as a Spectrum of Four Distinct Genetic Disorders: Toward Genotype-Guided Precision Management in the NGS Era.

Cancers
2026

Quality of life, anxiety and cancer worry following hereditary cancer testing: a 6-month Swedish follow-up study.

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation
2026

Neoantigen Vaccine Spurs Broad Immune Responses.

Cancer discovery
2026

A multilevel perspective on MSH6-associated Lynch syndrome: Integrating molecular, biological, and clinical insights.

International journal of cancer
2026

Incidental MSH6 Germline Pathogenic Variant Identified through Tumor-Only Comprehensive Genomic Profiling in a Patient with Small Cell Lung Cancer.

Internal medicine (Tokyo, Japan)
2026

Estimating the prevalence of germline mutations in DNA mismatch repair genes among patients with upper tract urothelial carcinoma: a systematic review and meta-analysis.

Urologic oncology
2026

Risk stratification for endometrial cancer: independent and joint effects of polygenic risk score and body mass index in 129,829 UK Biobank participants.

BMC medicine
2026

Single institution assessment of physician compliance and patient uptake with guideline directed aspirin therapy in the prevention of colorectal cancer in lynch syndrome.

Familial cancer
2026

Mismatch repair deficiency and microsatellite instability in adrenocortical carcinoma.

ESMO open
2025

Feasibility and impact of Lynch syndrome genetic testing in newly diagnosed colorectal cancer patients: a multicenter observational study in Greece.

ESMO gastrointestinal oncology
2026

Analysis of DNA mismatch repair and microsatellite instability in molecular typing of endometrial carcinoma.

Discover oncology
2026

Exploring Microsatellite Instability in Endometrial Carcinomas: Clinicopathological Correlations and Clinical Implications-A Study from North India.

Indian journal of surgical oncology
2026

[Sebaceoma of the eyelid in a patient with Lynch syndrome revealing Muir-Torre syndrome].

Journal francais d'ophtalmologie
2026

Clinicopathologic and Molecular Features of Tubo-Ovarian Carcinosarcomas With an Emphasis on p53 Wild-Type, KRAS-Mutated Tumors.

Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc
2026

Understanding patient priorities: Sexual health and hereditary ovarian cancer syndromes.

Gynecologic oncology
2026

Immunohistochemical and Genetic Evidence of Lynch Syndrome-Related Well-Differentiated Pancreatic Neuroendocrine Tumor in Association with Peliosis of the Non-Tumorous Islets and Ductulo-Insular Complexes: An Expansion of Endocrine Manifestations of Lynch Syndrome.

Endocrine pathology
2026

Hereditary ovarian cancer in women with African ancestry: a scoping review.

Familial cancer
2026

Germline MLH1 c.-42 C > T is a likely pathogenic variant predisposing to a reduced-penetrance/modified Lynch syndrome phenotype featuring MLH1-methylated cancers.

Familial cancer
2025

Genetic investigation of a Tunisian family with Lynch syndrome: a case report.

Frontiers in oncology
2025

Lung adenocarcinoma and colorectal cancer as double primary malignancies reveal lynch syndrome: a case report of germline MLH1 mutation with response to immunotherapy and familial aggregation.

Frontiers in immunology
2026

Non-invasive screening in hereditary cancer: a randomized controlled trial to test cell-free DNA-based early detection in the CHARM consortium.

European journal of human genetics : EJHG
2026

Age-Related Germline Landscape of Endometrial Cancer: Focus on Early-Onset Cases.

JCO precision oncology
2026

Recurrent Pituitary Adenoma Causing Cushing's Disease in a Patient With Lynch Syndrome.

Cureus
2026

Gene-specific cancer risks in female Lynch syndrome carriers: A copula-based meta-analysis.

Maturitas
2026

Substratification of mismatch repair deficient endometrial cancers based on mechanism of MMR loss can provide prognostic and predictive refinement.

Gynecologic oncology
2026

Platelet activation, aspirin, and cancer: From basic science to clinical trials.

Pharmacological reviews
2025

Health Behaviors and Cancer Diagnosis Among Individuals with Pathogenic Variants Associated with Hereditary Breast and Ovarian Cancer or Lynch Syndrome.

Journal of personalized medicine
2026

[Localised Urothelial Carcinoma of the Upper Urinary Tract: Histopathology, Molecular Genetics, and Clinical Features].

Aktuelle Urologie
2026

Pancreatic cancer risk and survival in patients with Lynch syndrome: a nationwide Dutch cohort study.

EClinicalMedicine
2026

Delphi panel consensus on genetic testing for prostate cancer in Australia: Whom to test and how?

Familial cancer
2026

Role of clonal lineage analysis via next-generation sequencing in identifying the origin of multiple cancers and guiding treatment options.

Japanese journal of clinical oncology
2026

Clinical and molecular characteristics of constitutional mismatch repair deficiency syndrome: a case series of five children and appraisal of diagnostic guidelines.

Diagnostic pathology
2026

Severe leukemoid reaction and spontaneous tumor lysis syndrome in a young patient with undifferentiated Lynch syndrome-associated ovarian cancer.

Gynecologic oncology reports
2026

Research progress in diagnosis and treatment of pancreatic cancer with mismatch repair and microsatellite instability.

Clinical &amp; translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico
2026

MLH1 Lynch Syndrome Colorectal Cancers Are Driven by Heterogeneous Wnt Pathway Gene Mutations.

Gastroenterology
2026

Deep intronic MSH2 variant confirms Muir-Torre subtype of Lynch syndrome.

JID innovations : skin science from molecules to population health
2026

Pediatric Malignancy in the Setting of Lynch Syndrome: A Case Series and Review of the Literature.

Pediatric blood &amp; cancer
2025

[A Case of Lynch Syndrome with MLH1 Gene Mutation Identified by Comprehensive Genomic Profiling].

Gan to kagaku ryoho. Cancer &amp; chemotherapy
2025

[RAS, BRAF, and Mismatch Repair Deficiency in Young-Onset Colorectal Cancer].

Gan to kagaku ryoho. Cancer &amp; chemotherapy
2025

[Two Case Reports of Complete Response to Pembrolizumab in MSI-H Colorectal Cancer].

Gan to kagaku ryoho. Cancer &amp; chemotherapy
2026

Nous-209 neoantigen vaccine for cancer prevention in Lynch syndrome carriers: a phase 1b/2 trial.

Nature medicine
2026

Assessing quality of life in individuals with hereditary cancer risk: Results from phases 1-3a of the EORTC QLQ-HCR30 questionnaire.

European journal of cancer (Oxford, England : 1990)
2026

An accurate cellular assay to determine pathogenicity of coding and noncoding variants in Lynch syndrome genes.

Proceedings of the National Academy of Sciences of the United States of America
2026

Characterization of a novel MSH2 variant in Lynch syndrome: clinical data and complementary bioinformatics assessment.

Einstein (Sao Paulo, Brazil)
2026

Tumour immune contexture and immune evasion in sporadic and Lynch syndrome-associated microsatellite unstable colorectal cancers.

British journal of cancer
2026

Genetic tumor syndromes in female cancer: insights into inherited cancer predisposition and clinical implications.

Archives of gynecology and obstetrics
2026

Prevalence and clinical characteristics of Lynch syndrome-associated adrenocortical carcinoma.

Endocrine-related cancer
2026

Outcomes from the English National Lynch Syndrome transformation project.

International journal of cancer
2026

An Exploration of Nursing Roles in Hereditary Colorectal Cancer- A Narrative Literature Review.

Seminars in oncology nursing
2025

Incidence of non-colorectal/endometrial malignancies in individuals with Lynch syndrome: a retrospective cohort study.

EClinicalMedicine
2026

Yield of repeat gastric biopsies and Helicobacter pylori serological assessment in Lynch syndrome.

Cancer treatment and research communications
2026

Barriers and interventions to improve the uptake of cancer risk management strategies in hereditary cancer syndromes: a narrative review.

International journal of gynecological cancer : official journal of the International Gynecological Cancer Society
2025

Auto-Immune Pancreatitis with Pseudo-Tumoral Mass Induced by Pembrolizumab in a Woman suffering from Metastatic Urothelial Carcinoma: Case Report and Literature survey.

Acta gastro-enterologica Belgica
2026

New Insights from the Expression of the Mismatch Repair System in Pituitary Neuroendocrine Tumors.

Endocrine pathology
2026

Surgical Management of Lynch Syndrome in the Era of Aspirin and Genotype-Stratified Risk.

ANZ journal of surgery
2025

Integrative proteomics reveals mitochondrial and immune signatures of MLH1 exon 13 deletion in Lynch syndrome-associated colorectal cancer.

Frontiers in molecular biosciences
2026

Exome Sequencing Identifies Variants in MLH1 and ERBB2 as Potential Cancer-Predisposing Factors in Familial Early-Onset Colorectal Cancer.

The Kaohsiung journal of medical sciences
2026

Immune checkpoint blockade in locally advanced rectal cancer with deficient DNA mismatch repair: retrospective multicenter experience.

ESMO open
2026

Diagnostic Challenges and Clinical Implications of Microsatellite Instability/Mismatch Repair Deficiency in Solid Tumors.

Cancer research and treatment
2025

Lynch Syndrome in Focus: A Multidisciplinary Review of Cancer Risk, Clinical Management, and Special Populations.

Cancers
2025

The Role of Microsatellite Instability in Endometrial Hyperplasia and Risk of Carcinoma Development.

Biomedicines
2025

Curcumin in colorectal cancer: preventive strategies and therapeutic mechanisms.

Cancer chemotherapy and pharmacology
2025

Organ-sparing strategies in patients with MSI/dMMR tumors including Lynch syndrome: Current state of the art and future perspectives for clinical decision-making.

International journal of cancer
2025

Identification of the Lynch syndrome and Lynch-like syndrome specific somatic mutations in microsatellite instability-high colorectal cancer cases.

Surgery today
2025

Precision Care for Hereditary Urologic Cancers: Genetic Testing, Counseling, Surveillance, and Therapeutic Implications.

Current oncology (Toronto, Ont.)
2026

Prostate Cancer Risk and DNA Mismatch Repair Deficiency Among Lynch Syndrome Patients.

European urology open science
2025

Efficacy of Pembrolizumab as Conversion Therapy in Deficient Mismatch Repair/Microsatellite Instability-High Metastatic Liver Colorectal Cancer Associated With Lynch Syndrome: A Case-Based Analysis.

Cureus
2025

Immune Checkpoint Inhibition as a Novel Strategy for Microsatellite Instability-High Duodenal Adenocarcinoma: A Report of Three Cases.

Surgical case reports
2025

Hereditary diffuse gastric cancer in progress: Comparative lessons from Lynch syndrome.

European journal of human genetics : EJHG
2025

Improving the performance of polymerase chain reaction for microsatellite instability testing in endometrial cancer.

Scientific reports
2025

Molecular Pathology of Ovarian Endometrioid Carcinoma: A Review.

Oncology research
2025

Cowden Syndrome With a Co-existing Lynch Syndrome Risk Mutation.

Cureus
2026

Prognostic and clinicopathological implications of mismatch-repair deficiency and MLH1 promoter methylation status in endometrial carcinoma.

International journal of clinical oncology
2025

Cancer risks in lynch syndrome carriers: a systematic review and meta-analysis.

Journal of the National Cancer Institute
2025

Uncovering the Cost-Effectiveness of Theory-Based Implementation Approaches: A Health Economic Analysis of the Hide and Seek Project Trial.

Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
2026

Advances in endometrial cancer screening: a comprehensive review of current methods and emerging technologies.

International journal of clinical oncology
2025

A Review of Susceptibility Factors for Colibactin-Associated Colorectal Cancer in African Populations.

Cureus
2026

Gynecologic Manifestations of Hereditary Syndromes: Clinical and Imaging Spectrum.

Radiographics : a review publication of the Radiological Society of North America, Inc
2025

Identification of a novel variant in MLH1 intron causing aberrant splicing associated with Lynch syndrome.

Gastroenterology report
2025

The Application of the NGS and MLPA Methods in the Molecular Diagnostics of Lynch Syndrome.

Diagnostics (Basel, Switzerland)
2025

Plasmacytoid variant in Lynch syndrome-associated urothelial carcinoma.

Human pathology
2025

Living at genetic risk: The patient experience of Lynch syndrome.

International journal of cancer
2026

Ethically Integrating Genomics in Primary Care: An Invitation to Share Implementation Best Practices.

Mayo Clinic proceedings
2026

A Mutation-Specific Decision Model for Segmental Versus Total Abdominal Colectomy in Hereditary Nonpolyposis Colorectal Cancer.

Diseases of the colon and rectum
2025

A common food mutagen promotes intestinal carcinogenesis by multiple mechanisms in mouse models of Lynch syndrome.

NAR cancer
2026

Blurring the Lines: Co-Occurrence of MSH6 Variant and MLH1 Constitutional Epimutation in a Young Colorectal Cancer Patient.

Clinical genetics
2025

Rare MSI-H hepatoid adenocarcinoma of the colon with BRAF V600E mutation achieving long-term disease-free survival after adjuvant envafolimab: a case report.

Frontiers in immunology
2025

Advances in research on congenital and hereditary intestinal diseases: From molecular mechanisms to precision medicine.

Intractable &amp; rare diseases research
2025

Genotype-phenotype correlations in PMS2-associated constitutional mismatch repair deficiency: a systematic literature review.

Oncology reviews
2025

Skin cancer risk in hereditary mixed cancer syndromes.

Hereditary cancer in clinical practice
2025

Are Hormones a risk or an opportunity? Strategies for managing women predisposed to gynecological cancers.

Maturitas
2025

Pediatric Oncology Patients With Germline Pathogenic Variants in Adult-Onset Cancer Predisposition Genes.

JCO precision oncology
2025

Significant progress in hereditary gastrointestinal cancer research presented at the meeting of the International Society for Gastrointestinal Hereditary Tumors (InSiGHT) 10th meeting of InSiGHT, June 19th -22nd, 2024, Barcelona, Spain.

Familial cancer
2025

An oligo-swapping method: preparation of mismatch repair-monitoring substrate using a nicking endonuclease.

MethodsX
2025

First Middle East and North Africa report of an EPCAM-MSH2 deletion in two Iranian Lynch syndrome families: a case report.

Cancer genetics
2025

Instability in the Penta-C and Penta-D Loci in Microsatellite-Unstable Endometrial Cancer.

International journal of environmental research and public health
2026

Intraventricular glioblastoma in Lynch syndrome: a case report.

Acta neurologica Belgica
2026

Pitfalls in MLH1 promoter methylation assessment, including POLEmut/MLH1meth endometrial adenocarcinoma.

Pathology, research and practice
2025

Cost-Utility Analysis of Universal Lynch Syndrome Screening among Colorectal Cancer Patients in a Low-Middle-Income Country.

Yonsei medical journal
2025

Pathological diagnosis experience and literature review of four cases suspected Lynch-like syndrome.

Frontiers in oncology
2026

ACTH-secreting atypical carcinoid lung tumour expanding the Lynch syndrome spectrum.

Journal of medical genetics
2025

Clinical and genomic features of Lynch syndrome differ by tumor site and disease spectrum.

Nature communications
2025

Pan-cancer prevalence, risk, and clinical and demographic characteristics of Lynch Syndrome-associated variants in BioBank Japan.

Communications medicine
2026

A Meta-Analysis of the Prevalence of Mismatch Repair Germline Mutations in Patients With Sebaceous Neoplasms: Are We Missing an Opportunity for Lynch Syndrome Detection?

The Australasian journal of dermatology
2025

Patient and provider perspectives on how a mobile health application may address barriers to Lynch Syndrome care.

Familial cancer
2025

The expression of Mutl Protein Homolog 1 (MLH1) and Muts Homolog 2 (MSH2) in colorectal carcinoma: An immunohistochemical study.

Indian journal of pathology &amp; microbiology
2026

Universal screening for Lynch syndrome and molecular classification of patients with endometrial cancer.

International journal of surgery (London, England)
2025

A rare case of colonic adenocarcinoma in a pediatric patient.

JPGN reports
2025

Cancer risks for MSH6 pathogenic variant carriers.

European journal of cancer (Oxford, England : 1990)
2026

Impact of RAS/BRAFV600E Mutations on the Tumor Immune Microenvironment in Mismatch Repair-Deficient/Microsatellite Instability Colorectal Cancers.

Clinical cancer research : an official journal of the American Association for Cancer Research
2026

Pathogenic germline variants among patients with ovarian cancer by self-reported ancestry: A commercial laboratory collaborative research registry study.

Gynecologic oncology
2025

NOUS-209 off-the-shelf immunotherapy has the potential to hit primary and metachronous colorectal and urothelial cancer in Lynch syndrome.

Molecular cancer therapeutics
2025

Advances in Hereditary Colorectal Cancer: How Precision Medicine Is Changing the Game.

Cancers
2025

A missed opportunity for preventing CMMRD: is it time to include Lynch syndrome genes in prenatal genetic testing?

BMJ case reports
2026

Japanese society for cancer of the colon and rectum (JSCCR) guidelines 2024 for the clinical practice of hereditary colorectal cancer.

International journal of clinical oncology
2025

Mesalamine for Colorectal Cancer Prevention Programme in Lynch syndrome (MesaCAPP): a multicentre, multinational, randomised, two-arm, double-blind, phase II clinical study with mesalamine or placebo in carriers with Lynch syndrome - a study protocol.

BMJ open
2026

[Surgical Management of Hereditary Colorectal Cancer Syndromes].

Zentralblatt fur Chirurgie
2026

Gastrohepatic Fistula Secondary to Metastatic Colorectal Adenocarcinoma in a Patient With Lynch Syndrome.

Gastro hep advances
2025

Genomic Instability in Hereditary Breast Cancer: Clinical and Nursing Implications for Risk Assessment and Targeted Therapeutic Strategies.

Seminars in oncology nursing
2026

MSAI-Path: Predicting Microsatellite Instability From Routine Histology Slides Without Reinventing the Wheel.

Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc
2026

The efficacy of genetic counselling for familial colorectal cancer. A randomised clinical trial.

European journal of human genetics : EJHG
2025

Qualitative and Quantitative Aspects of Discrepancies between Various Methods for Microsatellite Instability Detection.

Balkan journal of medical genetics : BJMG
2025

Clinical Practice Guideline: Colorectal Cancer—Diagnosis, Treatment, Prevention, and Long-Term Follow-Up Care.

Deutsches Arzteblatt international
2025

Mutation profile and molecular heterogeneity in mismatch repair deficient endometrial carcinoma.

Frontiers in oncology
2025

Pathogenic Germline Variant Prevalence and Genetic Testing Outcomes in Patients With Urothelial Carcinoma.

Clinical genitourinary cancer
2026

Salpingectomy in individuals at high risk for tubo-ovarian cancer: consensus and precaution.

American journal of obstetrics and gynecology
2026

Gene-Specific Adenoma Detection in Lynch Syndrome: Methodological Considerations and Clinical Implications.

Gastroenterology
2025

Genotype-Phenotype Characterization of Lynch Syndrome-associated Upper Tract Urothelial Carcinoma.

European urology oncology
2025

Case Report: Unique immunotherapy response in a patient with metachronous colorectal cancer not associated with Lynch Syndrome.

Frontiers in oncology
2025

Efficacy of immunotherapy in gastrointestinal (GI) tumors with mismatch repair deficient (MMRd) unusual phenotype: an AGEO real-world study.

Journal for immunotherapy of cancer
2025

A rare subtype of lynch syndrome familial with co-mutation of EpCAM c.344T>C, MSH2 c.2744A>G, PMS2 c.1408C>T and APC c.5465T>A, case report and literature review.

Frontiers in genetics
2025

Rare Intronic Variants Altering Splicing Cause Lynch Syndrome: Two Case Reports.

The journal of obstetrics and gynaecology research
2025

Traditional and New Views on MSI-H/dMMR Endometrial Cancer.

Biomolecules
2025

Impact of COVID-19 on Universal Tumor Screening, Referral Rates and Attendance at Cancer Genetic Counseling at a Safety-Net University Hospital.

Current oncology (Toronto, Ont.)
2025

Detection of urothelial carcinoma in Lynch syndrome using microsatellite instability analysis of urine cell-free DNA.

EBioMedicine
2025

Case Report: A patient with lynch syndrome with vaginal endometriosis-associated malignancy and synchronous colonic tubulovillous adenoma.

Frontiers in medicine
2025

Case Report: Successful treatment of a case of Lynch syndrome with double primary ovarian and rectal cancer.

Frontiers in oncology
2025

Diagnosis and treatment strategies for hereditary pancreatic cancer syndrome.

International journal of clinical oncology
2025

Current surveillance in the Netherlands for urothelial carcinoma in lynch syndrome.

Familial cancer
2025

Validation of Idylla MSI and BRAF genotype tests on archival colorectal cancer samples for retrospective Lynch syndrome detection.

Virchows Archiv : an international journal of pathology
2025

Mismatch Repair Deficiency and the Role of Non-Canonical Functions in Cancer: Diagnosis and Therapeutic Implications.

International journal of molecular sciences
2025

Lynch syndrome caused by SINE-VNTR-Alu-F retrotransposon insert in MSH6 confirmed after 20 years of testing: a case report and literature review.

Hereditary cancer in clinical practice
2025

Unique Genetic and Epigenetic Alterations in Glioblastoma Long-Term Survivors: Insights From Two Clinical Cases.

Journal of cellular and molecular medicine
2025

Influence of lynch syndrome on the incidence of side effects to antineoplastic treatment of patients with colorectal cancer.

Cancer genetics
2025

Pancreatic cancer and biliary tract tumors in individuals with lynch syndrome.

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
2025

Areas of Uncertainty in Pancreatic Cancer Surveillance: A Survey Across the International Pancreatic Cancer Early Detection (PRECEDE) Consortium.

JCO precision oncology
2025

Causes of Death Among Individuals With Lynch Syndrome in the Immunotherapy Era.

JCO precision oncology
2025

Primary bladder signet ring cell adenocarcinoma in a young male with Lynch Syndrome.

Urology case reports
2025

Clonal origins and divergent evolutionary relationships of synchronous multiple malignant neoplasms in gynecology revealed by next-generation sequencing.

Cancer treatment and research communications
2026

Five cases of gastric cancer in Helicobacter pylori-uninfected stomachs with Lynch syndrome.

Clinical journal of gastroenterology
2025

Implementation Mapping to Identify Best Practices for Implementing Population-Wide Genomic Screening Programs: Protocol for the FOCUS (Facilitating the Implementation of Population-Wide Genomic Screening) Study.

JMIR research protocols
2025

Constrained hypermutation and absence of TERT promoter mutations in Lynch syndrome-associated urothelial cancer.

Cell reports
2025

Population frequency of Predicted pathogenic MisMatch Repair (MMR) gene variants in Lynch syndrome from bioinformatic analyses of the general population.

Scientific reports
2025

Peri-operative management considerations for localised upper tract urothelial carcinoma in the setting of Lynch syndrome.

BMJ case reports
2025

Evolution of microsatellite instability testing in a population-based cohort of patients with colorectal cancer in France in the years leading up to official recommendations.

BMC cancer
Ver todos os 2.763 no EuropePMC

Associações

Organizações que acompanham esta doença — pra ter apoio e orientação

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Comunidades

Grupos ativos de quem convive com esta doença aqui no Raras

Ainda não existe comunidade no Raras para Síndrome Lynch

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Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Analysis of structure and conservation for supporting functional evaluation of PMS2 missense variants.
    European journal of human genetics : EJHG· 2026· PMID 41851261mais citado
  2. A paradigm shift in genetic predisposition to colorectal cancer: the impact of germline multigene panel testing on diagnosis and management.
    International journal of clinical oncology· 2026· PMID 41840140mais citado
  3. Underutilization of Genetic Counseling and Germline Testing Following Abnormal Mismatch Repair Immunohistochemistry in Colorectal Cancer.
    Digestive diseases and sciences· 2026· PMID 41795745mais citado
  4. "Where do I go from here?" Navigating a lifelong road without a map: the care experiences of hereditary cancer patients.
    European journal of human genetics : EJHG· 2026· PMID 41776346mais citado
  5. Universal tumor screening and mainstream genetic testing for Lynch syndrome in colorectal cancer: a scoping review of barriers and facilitators.
    European journal of human genetics : EJHG· 2026· PMID 41772283mais citado
  6. Complete response to pembrolizumab in a paediatric patient with Lynch syndrome-associated colorectal cancer: a case report and review of immunotherapy-related bowel obstruction.
    Drugs Context· 2026· PMID 41993726recente
  7. Germline Variants in Bladder and Upper Tract Urothelial Cancers: Prevalence and Clinical Context in a Large Testing Registry.
    Eur Urol Open Sci· 2026· PMID 41993145recente
  8. EPR26-179: Patient Perceptions of Vaccine-Based Cancer Prevention in Lynch Syndrome.
    J Natl Compr Canc Netw· 2026· PMID 41991063recente
  9. A novel frameshift variant in MSH2 (p.Q170Rfs4) associated with suspected Lynch syndrome in a Chinese family.
    Front Med (Lausanne)· 2026· PMID 41987791recente
  10. Molecular and clinical characteristics of glioma patients with germline pathogenic mutations of Lynch syndrome genes: a large-scale multicenter study.
    J Transl Med· 2026· PMID 41987265recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:144(Orphanet)
  2. MONDO:0005835(MONDO)
  3. GARD:9905(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Artigo Wikipedia(Wikipedia)
  7. Q783644(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Síndrome Lynch
Compêndio · Raras BR

Síndrome Lynch

ORPHA:144 · MONDO:0005835
Prevalência
Unknown
Herança
Autosomal dominant
CID-10
C18.2 · Neoplasia maligna do cólon ascendente
CID-11
Ensaios
32 ativos
Início
Adult
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C0009405
EuropePMC
Wikidata
Wikipedia
Papers 10a
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