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		WHAT IF MY FAMILY HAS FAP OR LYNCH SYNDROME?
If someone in your family has been diagnosed with Lynch Syndrome it is 
important to discuss the following screening options with your physician, as 
each individual is different. The American Society of Clinical Oncology 
recommends these general screening guidelines: 
	- Colonoscopy every one to two years, beginning between the ages of 20 to 
	25 (or five years younger than the earliest age at diagnosis in the family, 
	whichever is sooner)
 
	- Periodic upper endoscopy screening (this procedure uses a thin, flexible 
	tube with a light inserted into the body to examine a specific region) for 
	stomach or intestinal cancer, especially if a family member has had one of 
	these cancers
 
	- Yearly urine cytology to screen for urinary tract cancer
 
	 
	
	Screening for women 
	
	- Yearly pelvic examination
 
	- Pap test
 
	- Transvaginal ultrasound (a test where a small ultrasound probe is 
	inserted for a pelvic examination in order to obtain better imaging of the 
	uterus)
 Endometrial biopsy (an examination on a sample of tissue from the 
	inner lining of the uterus done as a part of a pelvic examination) 
	- CA-125 blood test (a test to detect a protein found to be elevated in 
	the blood of some women with ovarian cancer) beginning between the ages of 
	25 to 30
 
 
Screening options may change over time as new technologies are developed 
	and more is learned about Lynch Syndrome. 
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