Surveillance Endoscopy in the Management of Hereditary Diffuse Gastric Cancer Syndrome.

Clin Gastroenterol Hepatol

Gastroenterology Division, Department of Medicine, Harvard Medical School, Boston, Massachusetts; Center for Cancer Risk Assessment, Cancer Center, Harvard Medical School, Boston, Massachusetts. Electronic address:

Published: January 2021

Hereditary diffuse gastric cancer (HDGC) syndrome results from a germline CDH1 mutation, and microscopic foci of signet-ring carcinoma cells (SRCC) are present in nearly all gastrectomy specimens. The lifetime risk of invasive gastric cancer (GC) has been thought to be 70%, but recent data have suggested a lower risk of 37%. Prophylactic total gastrectomy is considered the standard of care, but many patients choose surveillance endoscopy instead. We sought to define the outcomes in CDH1-positive individuals who pursued endoscopic surveillance.

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http://dx.doi.org/10.1016/j.cgh.2019.10.033DOI Listing

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