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Correspondence
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Volume 348:2361-2362 June 5, 2003 Number 23
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Genetics of Colorectal Cancer

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 by Lynch, H. T.
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To the Editor: Lynch and de la Chapelle (March 6 issue)1 emphasize the screening of high-risk patients who have a mutation in the adenomatous polyposis coli (APC) gene or who have one or more first-degree relatives with familial adenomatous polyposis. However, the importance of ophthalmic examination in screening for and diagnosis of familial adenomatous polyposis is not noted. Congenital hypertrophy of retinal pigment epithelium is the most prominent extracolonic manifestation of familial adenomatous polyposis and is present in about 90 percent of patients.2,3,4 This condition can be identified by noninvasive methods even in infants and young children by . . . [Full Text of this Article]




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