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@ARTICLE{Helderman:289122,
author = {N. C. Helderman and M. E. van Leerdam and M. Kloor$^*$ and
A. Ahadova$^*$ and M. Nielsen},
title = {{E}merge of colorectal cancer in {L}ynch syndrome despite
colonoscopy surveillance: {A} challenge of hide and seek.},
journal = {Critical reviews in oncology, hematology},
volume = {197},
issn = {0737-9587},
address = {Amsterdam [u.a.]},
publisher = {Elsevier Science},
reportid = {DKFZ-2024-00589},
pages = {104331},
year = {2024},
abstract = {Even with colonoscopy surveillance, Lynch syndromes (LS)
carriers still develop colorectal cancer (CRC). The
cumulative incidence of CRCs under colonoscopy surveillance
varies depending on the affected mismatch repair (MMR) gene.
However, the precise mechanisms driving these
epidemiological patterns remain incompletely understood. In
recent years, several potential mechanisms explaining the
occurrence of CRCs during colonoscopy surveillance have been
proposed in individuals with and without LS. These encompass
biological factors like concealed/accelerated carcinogenesis
through a bypassed adenoma stage and accelerated progression
from adenomas. Alongside these, various colonoscopy-related
factors may contribute to formation of CRCs under
colonoscopy surveillance, like missed yet detectable
(pre)cancerous lesions, detected yet incompletely removed
(pre)cancerous lesions, and colonoscopy-induced
carcinogenesis due to tumor cell reimplantation. In this
comprehensive literature update, we reviewed these potential
factors and evaluated their relevance to each MMR group in
an attempt to raise further awareness and stimulate research
regarding this conflicting phenomenon.},
subtyp = {Review Article},
keywords = {Colonoscopy surveillance (Other) / Colorectal cancer
(Other) / Incident colorectal cancer (Other) / Lynch
syndrome (Other) / Mismatch repair (Other) /
Post-colonoscopy colorectal cancer (Other)},
cin = {F210 / D470},
ddc = {610},
cid = {I:(DE-He78)F210-20160331 / I:(DE-He78)D470-20160331},
pnm = {314 - Immunologie und Krebs (POF4-314)},
pid = {G:(DE-HGF)POF4-314},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:38521284},
doi = {10.1016/j.critrevonc.2024.104331},
url = {https://inrepo02.dkfz.de/record/289122},
}