Hereditary nonpolyposis colorectal cancer medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]

Overview

There is no medical treatment for hereditary nonpolyposis colorectal cancer.[1][2] However, HNPCC patients should consider diet optimization and pharmacological prevention.

Medical Therapy

HNPCC patients should consider the following options of medical management:[3]

Diet Optimization

  • Persons with high risk of colorectal cancer should consider a low fat diet with limitations concerning red meat, but with bran and rich in cellulose.

Pharmacological Prevention

  • There are reports that the group of drugs lowering the risk of colorectal cancer includes: aspirin, sulindac, prioxicam, calcium, and vitamin C. The real value of such drugs in cancer prevention in HNPCC cannot be excluded, but is not proven.[1]

References

  1. 1.0 1.1 Si JW, Wang L, Ba XJ, Zhang X, Dong Y, Zhang JX, Li WT, Li T (2015). "[Clinicopathological screening of Lynch syndrome: a report of 2 cases and literature review]". Beijing Da Xue Xue Bao (in Chinese). 47 (5): 858–64. PMID 26474631.
  2. Hendriks YM, de Jong AE, Morreau H, Tops CM, Vasen HF, Wijnen JT, Breuning MH, Bröcker-Vriends AH (2006). "Diagnostic approach and management of Lynch syndrome (hereditary nonpolyposis colorectal carcinoma): a guide for clinicians". CA Cancer J Clin. 56 (4): 213–25. PMID 16870997.
  3. Kladny J, Lubinski J. Lynch syndrome (HNPCC). Hered Cancer Clin Pract. 2008;6(2):99-102.


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