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Behind The Knife: The Surgery Podcast

Clinical Challenges in Colorectal Surgery: Lynch Syndrome

Behind The Knife: The Surgery Podcast

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.81.4K Ratings

🗓️ 5 May 2022

⏱️ 44 minutes

🧾️ Download transcript

Summary

*** FELLOWSHIP APPLICATION: https://docs.google.com/forms/d/e/1FAIpQLScxkGQTz-rh5OfPJBBdyvVZ4Pq2R8NWgBUOC1dt8VQHtvawhw/viewform ***

You are faced with a young patient with an advanced colon cancer. You suspect Lynch syndrome. He asks if he should undergo total colectomy as opposed to segmental colectomy. How do you approach such a patient?

Join Dr. Carole Richard, Dr. François Dagbert and Dr. Maher Al Khaldi in their conversation about Lynch syndrome, also known as Hereditary Non-polyposis Colorectal Cancer (HNPCC).

Learning objectives
- To understand the rationale for universal testing for MMR deficiency of newly diagnosed colorectal cancers.
- To know when to recommend screening for CRC for patients with LS and to those who have undergone resection
- To understand the prevalence of cancers other than CRCs associated with Lynch syndrome, especially endometrial cancer.

Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

Transcript

Click on a timestamp to play from that location

0:00.0

Behind the Night, the Surgery Podcast.

0:09.2

Relevant and engaging content designed to help you dominate the day.

0:24.3

Calling all surgical education junkies behind the knife is looking to add two new fellows

0:29.1

to our team. We are thrilled to be adding these positions. We've got so much great content

0:33.6

in the pipeline that we don't even know to do with ourselves. I'm talking big time projects

0:38.3

that are going to make a big impact on surgical education. We've got specialty oral board review,

0:44.0

medical student education, digital education research, and a trauma surgery video atlas just to name

0:50.9

a few. We're looking for a couple of enterprising surgical residents to take the bowl by the horns

0:56.6

and spearhead one of these major projects not to mention, help with the podcast, video,

1:01.8

and other ongoing exciting behind the knife goodness. We are offering a two-year fellowship

1:07.1

starting July 2022 and ending June 2024. Only residents begin their two-year research time will

1:13.4

be considered and the residents' institutions and the mentor must approve of this fellowship.

1:18.9

Check out the show notes for the application link. All applications are due May 25th.

1:25.2

Okay, welcome back everybody from the colorectal surgery team from Montreal.

1:31.2

In today's topic, we'll be discussing Lynch syndrome. It's quite a complicated topic,

1:38.9

but we'll try to make it as clear as possible. We'll guide you through the epidemiology,

1:46.5

the manifestation, the challenges of the diagnosis itself, and also we'll discuss management

1:54.9

and follow-up associated with Lynch syndrome. So for this clinical challenging episode,

2:02.4

we're going to review two different cases that we actually treated here in our institution.

2:09.8

So let's start now with our first case. So my resident, you're in my office and you have a young

2:18.9

32-year-old patient with a referral for erectal cancer, the biopsy showed at no carcinoma.

2:29.2

He had a colonoscopy and he had no other abnormalities on colonoscopy.

...

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