Condition Prevalence Average age at CRC diagnosis Gene involved Mode of inherit ance Lifetime CRC risk Colonic manifestation
LS 1:440 44-45 MLH1, MSH2, PMS2 MSH6 AD 50-80% Proximal predilection of CRCs
CMMRD - 16 As LS AD 100% Similar to LS. Adenomatous polyps sometimes seen
FAP 1:10,000 39 APC AD 100% >100 adenomatous polyps with an average age of onset of 16
AFAP - 56 APC AD 80% Similar to FAP; usually < 100 polyps with a later age of onset
MAP - 45-56 MutYH AR Biallelic: 80% Monoallelic:? 10-100 adenomatous polyps. Serrated and hyperplastic polyps possible. CRCs mostly proximal
PJS 1:29,000 to 1:120,000 43 STK11 AD 39%; 3% at 40 5% at 50 Hamartomatous polyps
JPS 1:16,000 to 1:100,000 42 SMAD4 BMPR1A ENG AD 40-50%; 17-22% at 35 68% at 60 5-200 juvenile hamartomatous polyps, with an average age of onset of 20
CS 1:200,00 to 1:250,000 <50? PTEN AD 9-16% Hamartomatous polyps
BRRS - Pediatric onset? PTEN AD Similar to CS Hamartomatous polyps, younger age at onset than CS
SPS 1: 3000 63; <50 possible BRAF AD/AR ? ? Serrated polyps
HMPS - 48 15q13-14? AD ? 1-15polyps:classic, serrated,   tubular; hyperplastic; juvenile; mixed juvenile-adenomatous or hyperplastic adenomatous
LS: Lynch Syndrome; CMMRD: Constitutional DNA Mismatch Repair Deficiency; FAP: Familial Adenomatous Polyposis; AFAP: Attenuated Familial Adenomatous Polyposis; MAP: MutYH-Associated Polyposis; PJS: Peutz-Jeghers Syndrome; JPS: Juvenile Polyposis Syndrome; CS: Cowden Syndrome; BRRS: Bannayan-Riley-Ruvalcaba Syndrome; SPS: Serrated Polyposis Syndrome; HMPS: Hereditary Mixed Polyposis Syndrome.
Table 1: Inherited genetic colorectal cancer syndromes, with a breakdown of their prevalence, mode of inheritance, age at onset, colorectal cancer risk and colonic features.