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Lynch syndrome increases your chances of getting cancer, but it is not a type of cancer.

Lynch syndrome is a genetic condition - it is caused by a gene change (variant) in 1 of these genes:

  • MLH1
  • MSH2
  • MSH6
  • PMS2
  • EPCAM

The type of gene change that causes Lynch syndrome is a pathogenic variant. This means that the gene change may lead to or increase the risk of a condition - such as cancer.

Lynch syndrome used to be called hereditary non-polyposis colorectal cancer (HNPCC). You may see this name in older information.

Who can get Lynch syndrome

Lynch syndrome is inherited - the gene change passes from parent to child.

You have a 1 in 2 chance of inheriting the gene change if a parent has Lynch syndrome.

If you have Lynch syndrome, there is also a 1 in 2 chance that you will pass the gene change to your children.

It's estimated that about 1 in 280 people worldwide have Lynch syndrome. But most people do not know they have it. It is diagnosed by having a genetic test.

Lynch syndrome and cancer risk

Everyone has some risk of getting cancer - 1 in 2 people will develop some type of cancer during their lifetime.

If you have Lynch syndrome you are more likely to get certain types of cancer. You are also more likely to get these cancers at a younger age or more than once.

The cancers you are at a higher risk of getting depends on:

  • which gene is affected
  • your family history of cancer
  • your age and sex

Lynch syndrome can cause:

You may also have a higher risk of cancer of the:

  • ovary
  • prostate
  • small bowel
  • stomach
  • pancreas
  • gall bladder or biliary duct
  • kidney, urinary tract and bladder
  • brain
  • skin

Not everyone with Lynch syndrome will get cancer.

How to reduce your risk of cancer if you have Lynch syndrome

How certain gene changes increase your cancer risk

A cell with DNA damage can lead to a cancer. But some genes protect us from getting cancer by repairing our DNA if it is damaged.

If you inherit a change to one of the genes that causes Lynch syndrome the gene cannot repair the cells properly. This means DNA damage can build up and cause cancer.

Page last reviewed: 18 March 2025
Next review due: 18 March 2028

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This project has received funding from the Government of Ireland’s Sláintecare Integration Fund 2019 under Grant Agreement Number 123.