Table 4

 Criteria for suspicion of hereditary non-polyposis colorectal cancer (HNPCC) based on ICG definition of HNPCC (Lynch syndrome)

ICG, International Collaborative Group; CRC, colorectal cancer.
• Familial clustering of CRC and/or endometrial cancer (2 first degree relatives across 2 generations, with further affected second degree relatives)
• Associated cancers of: stomach, ovary, ureter/renal pelvis, small bowel, hepatobiliary tract, skin (sebaceous tumours)
• Development of cancer at an early age
• Development of multiple cancers, particularly multiple CRCs
• Proximal location of CRC