Skip to main content

Conditions/Hereditary Cancers/Chapter

Detailed chapter

Lynch Syndrome

MMR/MSI, colorectal risk, and family screening

Lynch syndrome is linked to germline mismatch-repair gene mutations and raises colorectal and endometrial cancer risk. The path often starts with tumor MMR/MSI findings, then genetic counseling and confirmatory germline testing.

Lynch · educational illustration

Key points

  • Why MMR/MSI is checked
    Tap for details

    Universal MMR/MSI assessment in new colorectal cancers informs immunotherapy discussions, prognosis framing, and Lynch evaluation — it is not reserved only for young patients.

  • Surgery and follow-up
    Tap for details · key note inside

    Resection extent and surveillance intensity depend on confirmed risk, anatomy, and patient goals. There is no single package for every Lynch patient.

  • Family cascade
    Tap for details

    Pathogenic germline findings trigger relative testing and screening conversations under genetic counseling.

  • Important
    Tap for details · key note inside

    This page is for education. It is not medical advice and does not replace a visit with your physician.

Frequently asked questions

  • Does MSI-high equal Lynch?
    Tap for details

    Not by itself. It raises the question and guides next steps with counseling.

  • Is total colectomy mandatory?
    Tap for details

    No. Extent of colorectal surgery is individualized.

This page is for education. It is not medical advice and does not replace a visit with your physician.

Medical editor: Assoc. Prof. Cengiz Dibekoğlu, MD · Last medically reviewed: August 2026 · English patient-education chapter.