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SURVEILLANCE FOR A FAMILY HISTORY OF COLORECTAL CANCER Andrew Luck Northern Adelaide  Colorectal Network Lyell McEwin Hospital South Australia
NATURE OR NURTURE? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NATURE OR NURTURE? ,[object Object],[object Object],[object Object],[object Object],[object Object]
AVERAGE RISK If aged Risk over 5 years Risk over 10 years Risk over 15 years Risk over 20 years 30 1 in 7000 1 in 2000 1 in 700 1 in 350 40 1 in 1200 1 in 400 1 in 200 1 in 90 50 1 in 300 1 in 100 1 in 50 1 in30 60 1 in 100 1 in 50 1 in 30 1 in 20 70  1 in 65 1 in 30 1 in 20 1 in 15 80 1 in 50 1 in 25
CATEGORY 1 ,[object Object],[object Object],[object Object]
CATEGORY 1 ,[object Object],[object Object],[object Object]
MODERATELY INCREASED RISK ,[object Object],[object Object],[object Object],[object Object]
AVERAGE RISK If aged Risk over 5 years Risk over 10 years Risk over 15 years Risk over 20 years 30 1 in 7000 1 in 2000 1 in 700 1 in 350 40 1 in 1200 1 in 400 1 in 200 1 in 90 50 1 in 300 1 in 100 1 in 50 1 in30 60 1 in 100 1 in 50 1 in 30 1 in 20 70  1 in 65 1 in 30 1 in 20 1 in 15 80 1 in 50 1 in 25
CATEGORY 2 ,[object Object],[object Object],[object Object],[object Object]
FH ADENOMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CATEGORY 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CATEGORY 3 ,[object Object],[object Object],[object Object]
CATEGORY 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FAMILIAL ADENOMATOUS POLYPOSIS (FAP) ,[object Object],[object Object],[object Object],[object Object],[object Object]
FAMILIAL ADENOMATOUS POLYPOSIS (FAP) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FAMILIAL ADENOMATOUS POLYPOSIS (FAP) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEREDITARY NON-POLYPOSIS COLORECTAL CANCER (hnpcc) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HNPCC ,[object Object],[object Object],[object Object],[object Object],[object Object]
BETHESDA GUIDELINES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MICROSATELLITE INSTABILITY ,[object Object],[object Object],[object Object],[object Object]
MSI-H ,[object Object],[object Object],[object Object],[object Object],[object Object]
HNPCC ,[object Object],[object Object],[object Object],[object Object],[object Object]
HNPCC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SUMMARY ,[object Object],[object Object],[object Object],[object Object]
SUMMARY  ,[object Object],[object Object],[object Object],[object Object],[object Object]
SUMMARY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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8. Cancer Metastasis Lymphatic Spread
 
7. Renal Dialysis Surgery
7. Renal Dialysis  Surgery7. Renal Dialysis  Surgery
7. Renal Dialysis Surgery
 
5. Carcinoid Tumour Biochemical And Radiological Testing
5. Carcinoid Tumour Biochemical And Radiological Testing5. Carcinoid Tumour Biochemical And Radiological Testing
5. Carcinoid Tumour Biochemical And Radiological Testing
 
4. Haemophilia And Royal Families
4. Haemophilia And Royal Families4. Haemophilia And Royal Families
4. Haemophilia And Royal Families
 

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Surveillance for a Family History of Colorectal Cancer

  • 1. SURVEILLANCE FOR A FAMILY HISTORY OF COLORECTAL CANCER Andrew Luck Northern Adelaide Colorectal Network Lyell McEwin Hospital South Australia
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  • 4. AVERAGE RISK If aged Risk over 5 years Risk over 10 years Risk over 15 years Risk over 20 years 30 1 in 7000 1 in 2000 1 in 700 1 in 350 40 1 in 1200 1 in 400 1 in 200 1 in 90 50 1 in 300 1 in 100 1 in 50 1 in30 60 1 in 100 1 in 50 1 in 30 1 in 20 70 1 in 65 1 in 30 1 in 20 1 in 15 80 1 in 50 1 in 25
  • 5.
  • 6.
  • 7.
  • 8. AVERAGE RISK If aged Risk over 5 years Risk over 10 years Risk over 15 years Risk over 20 years 30 1 in 7000 1 in 2000 1 in 700 1 in 350 40 1 in 1200 1 in 400 1 in 200 1 in 90 50 1 in 300 1 in 100 1 in 50 1 in30 60 1 in 100 1 in 50 1 in 30 1 in 20 70 1 in 65 1 in 30 1 in 20 1 in 15 80 1 in 50 1 in 25
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