Muir-Torre syndrome

Treatment

Are there treatments for Muir-Torre syndrome?

The treatment for Muir-Torre-related cancers depends on the type of cancer and is determined on a case by case basis. However, there are ways to screen for colon, uterine, ovarian, and stomach cancer with the goal of discover cancer at an earlier and more treatable stage. Additionally some cancers related to Muir-Torre can be prevented.

Muir-Torre cancer screening and prevention recommendations include:

  • Colonoscopy should be performed every 1-2 years beginning at age 20-25 or 5 years prior to the earliest colon cancer in the family if diagnosed under 25.
  • Aspirin therapy may decrease the risk of colon cancer but there is limited data around how long to take it and what dose to take.
  • Urinalysis (analyzing the urine to screen for urinary tract cancer) annually should be considered starting at age 25-30
  • CNS (central nervous system) cancer screening consists of an annual physical/neurologic examination starting at 25-30
  • Removal of the uterus and ovaries (hysterectomy/salpingo-oophorectomy) should be considered as a risk-reduction option for women after they have finished having children.
  • Ultrasounds of the ovaries and uterus for ovarian and uterine cancer or serum CA-125 may also be used but the data do not currently support routine screening.
  • Selected individuals or families or individuals of Asian descent may consider EGD, an imaging test of the esophagus, stomach and duodenum, to screen for stomach and small bowel cancers.
References
  • Schneider, K. (2013). 3rd Ed.
  • http://www.nccn.org/professionals/physician_gls/pdf/genetics_colon.pdf

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