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Correspondence
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Volume 339:924-925 September 24, 1998 Number 13
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Molecular Diagnosis of Hereditary Nonpolyposis Colon Cancer

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 by Aaltonen, L. A.
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 by Dighiero, G.
To the Editor: Although I agree with Aaltonen et al. (May 21 issue)1 that there is a need for a reliable diagnostic test for hereditary nonpolyposis colorectal cancer, I am concerned about their recommendations. To propose testing for replication errors (and if positive, subsequent testing for mutations of DNA mismatch-repair genes) in all patients with colorectal cancer who meet specific criteria may be premature and perhaps appropriate only as part of a research protocol.

The authors cite the conclusion by Vasen et al.2 — "carriers of mismatch-repair gene mutations have a greater than 80 percent risk of cancer by the . . . [Full Text of this Article]

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