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The Manchester International Consensus Group recommendations for the management of gynecological cancers in Lynch syndrome

Authors
  • Crosbie, Emma J.
  • Ryan, Neil A. J.
  • Arends, Mark J.
  • Bosse, Tjalling
  • Burn, John
  • Cornes, Joanna M.
  • Crawford, Robin
  • Eccles, Diana
  • Frayling, Ian M.
  • Ghaem-Maghami, Sadaf
  • Hampel, Heather
  • Kauff, Noah D.
  • Kitchener, Henry C.
  • Kitson, Sarah J.
  • Manchanda, Ranjit
  • McMahon, Raymond F. T.
  • Monahan, Kevin J.
  • Menon, Usha
  • Møller, Pål
  • Möslein, Gabriela
  • And 57 more
Type
Published Article
Journal
Genetics in Medicine
Publisher
Springer Nature
Publication Date
Mar 28, 2019
Volume
21
Issue
10
Pages
2390–2400
Identifiers
DOI: 10.1038/s41436-019-0489-y
Source
Springer Nature
Keywords
License
Green

Abstract

PurposeThere are no internationally agreed upon clinical guidelines as to which women with gynecological cancer would benefit from Lynch syndrome screening or how best to manage the risk of gynecological cancer in women with Lynch syndrome. The Manchester International Consensus Group was convened in April 2017 to address this unmet need. The aim of the Group was to develop clear and comprehensive clinical guidance regarding the management of the gynecological sequelae of Lynch syndrome based on existing evidence and expert opinion from medical professionals and patients.MethodsStakeholders from Europe and North America worked together over a two-day workshop to achieve consensus on best practice.ResultsGuidance was developed in four key areas: (1) whether women with gynecological cancer should be screened for Lynch syndrome and (2) how this should be done, (3) whether there was a role for gynecological surveillance in women at risk of Lynch syndrome, and (4) what preventive measures should be recommended for women with Lynch syndrome to reduce their risk of gynecological cancer.ConclusionThis document provides comprehensive clinical guidance that can be referenced by both patients and clinicians so that women with Lynch syndrome can expect and receive appropriate standards of care.

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