Clinical Challenges in Colorectal Surgery: Lynch Syndrome
Behind The Knife: The Surgery Podcast
Behind The Knife: The Surgery Podcast
4.8 • 1.4K Ratings
🗓️ 5 May 2022
⏱️ 44 minutes
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Summary
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?
- 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.
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Transcript
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| 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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