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Reducing your risk of cancer - Lynch syndrome

If you have Lynch syndrome you have a higher risk of getting some types of cancer. The type depends on the gene affected.

Your genetic counsellor or healthcare team will give you information about this.

They can help you plan how to reduce your risk of certain cancers.

They may recommend that you:

Bowel cancer risk

Most people with Lynch syndrome have a higher risk of getting bowel cancer. Bowel cancer is also known as colon cancer, rectal cancer or colorectal cancer.

There are things you can do to reduce your chances of getting bowel cancer or to find it at an early stage.

Colonoscopy tests

Because bowel cancer can grow more quickly in people with Lynch syndrome your healthcare team may recommend you have a colonoscopy every 2 years.

A colonoscopy is a type of endoscopy test to look at your bowel using a small flexible camera. The camera is passed through your bottom (anus) and into your bowel.

Your doctor looks for growths called bowel polyps during a colonscopy. Some bowel polyps can turn into cancer over time. If your doctor finds any they will usually remove them and send a sample to a lab for testing. This is to check for signs of cancer.

If there are cancer or precancerous cells in the polyp, your doctor will tell you if you need further treatment.

The age you start getting colonoscopies will depend on which Lynch syndrome gene is affected.

You are at a higher risk of bowel cancer if your MLH1 or MSH2 genes are affected. Your healthcare team may recommend you get a colonoscopy every 2 years from age 25.

If your MSH6 or PMS2 genes are affected your healthcare team may recommend you get a colonoscopy every 2 years from age 35.

What happens during a colonoscopy

If your doctor finds polyps during a colonoscopy

Medicine

If you have Lynch syndrome, aspirin may reduce your risk of bowel cancer. But it may not be suitable for everyone. Ask your healthcare team if it is an option for you.

Signs and symptoms

You need to know and look out for the signs and symptoms of bowel cancer.

Urgent advice: Contact your GP if:

Do this even if you have had a recent colonoscopy.

Endometrial cancer risk

If you have Lynch syndrome you may have a gene change that increases your risk of getting endometrial cancer, a type of womb cancer.

There are things you can do to reduce your risk of getting endometrial cancer or to help find it at an early stage.

Signs and symptoms

You need to know and check for the signs and symptoms of endometrial cancer.

Urgent advice: Contact your GP if:

you have symptoms of:

Surgery

You may consider having surgery to reduce your risk of endometrial cancer. If your womb, ovaries and fallopian tubes are removed, cancer cannot develop in them. Your fallopian tubes are the tubes that connect your ovaries and womb.

The types of surgery are:

  • total hysterectomy - to remove the womb and cervix (neck of the womb)
  • total hysterectomy with bilateral salpingo-oophorectomy - to remove the womb, cervix, fallopian tubes (salpingectomy) and ovaries (oophorectomy)

The recommended surgery depends on your age, family history and gene change you have.

Your decision to have risk-reducing surgery may depend on whether you plan to have children or to have more children. Talk to your healthcare team about this.

Ovarian cancer risk

If you have Lynch syndrome you may have a gene change that increases your risk of getting ovarian cancer.

There are things you can do to reduce your risk of getting ovarian cancer or to help find it at an early stage.

Signs and symptoms

You need to know and check for the signs and symptoms of ovarian cancer.

Urgent advice: Contact your GP if:

you have symptoms of:

Surgery

You may consider having surgery to reduce your risk of ovarian cancer. If your womb, ovaries and fallopian tubes are removed, cancer cannot develop in them. Your fallopian tubes are the tubes that connect your ovaries and womb.

The types of surgery are:

  • total hysterectomy - to remove the womb and cervix (neck of the womb)
  • total hysterectomy with bilateral salpingo-oophorectomy - to remove the womb, cervix, fallopian tubes (salpingectomy) and ovaries (oophorectomy)

The recommended surgery depends on your age, family history and gene change you have.

Your decision to have risk-reducing surgery may depend on whether you plan to have children or to have more children. Talk to your healthcare team about this.

Stomach cancer risk

You may have a family history of cancer of the stomach. There are things you can do to reduce your chances of getting stomach cancer or to find it at an early stage.

Your healthcare team will give you information about the signs and symptoms.

Gastroscopy tests

Stomach cancer can be diagnosed using a gastroscopy test. Your healthcare team might recommend regular gastroscopy tests.

An gastroscopy is a type of endoscopy test to look at your stomach using a small flexible camera. The camera is passed through your mouth, throat, oesophagus and into your stomach.

A biopsy (small sample) can be taken when you are having a gastroscopy. It will be sent to a lab for testing to find out if you have stomach cancer.

What happens during a gastroscopy

Testing for and treating infection

Helicobacter pylori is bacteria that infects your stomach. Your GP or healthcare team can arrange a test. This is a once-off test that can be done by stool sampling or a breath test. It can be treated with antibiotics, which can help reduce your risk of stomach cancer.

Rare skin cancer risk

You have a higher risk of developing skin tumours if you have a type of Lynch syndrome called Muir Torré syndrome (MTS). It is rare.

Your healthcare team will give you information about the signs and symptoms.

Urgent advice: Contact your GP:

if you have any concerns about new or changing growths, bumps or spots on your skin

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.