Figure 1 | Genetics in Medicine

Figure 1

From: Implementation of routine screening for Lynch syndrome in university and safety-net health system settings: successes and challenges

Figure 1

Dallas routine screening protocol for Lynch syndrome. Our protocol specified reflex IHC screening for all patients with CRC aged ≤70 years, with reporting of IHC results to the medical record and genetic counselors on a weekly basis. Genetic counselors served as the “quarterback” for all testing, ensuring contact and follow-up of all patients with abnormal results. After initiating the protocol, a suboptimal rate of reflexive IHC was noted, and an added step, in which the genetics team monitored all new CRC diagnoses on a weekly basis to ensure IHC completion was added (see text). CRC, colorectal cancer; IHC, immunohistochemistry; NCCN, National Comprehensive Cancer Network.

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