Amsterdam Criteria I: |
At least 3 relatives with CRC and meeting the following criteria: |
- 1 affected individual should be familiar of 1st degree of the other 2. |
- At least 2 successive generations must be affected |
- At least 1 case of CRC diagnosed before the age 50 |
- Familial adenomatous polyposis has been excluded |
Amsterdam Criteria II: |
At least 3 relatives with CRC, endometrial, small bowel, ureter or renal pelvis cancer and meeting following criteria: |
- 1 affected individual should be familiar of 1st degree of the other 2. |
- At least 2 successive generations must be affected |
- At least 1 case of CRC diagnosed before the age 50 |
- Familial adenomatous polyposis has been excluded |
Bethesda Guidelines: |
At least 1 of the following criteria required: |
- CRC diagnosed before the age 50 |
- Synchronic or metachronic presence of CRC and/or another neoplasm associated to Lynch syndrome, independently of the age of diagnosis |
- CRC diagnosed before the age 60 and with histology showing microsatellites instability |
- CRC diagnosed in a patient with > 1 first degree relative with a tumour associated to Lynch syndrome, with at least 1 tumour diagnosed before the age 50 |
- CRC diagnosed in a patient and > 2 relatives of 1st or 2nd degree with tumours associated to Lynch syndrome, independently of the age of diagnosis |