Specialized Programs

Lynch Syndrome

Lynch syndrome is the most common hereditary colorectal cancer condition. It accounts for 3 to 5% of all colorectal cancers. If you have Lynch syndrome, you're at higher risk for colon cancer, endometrial cancer, and a few other cancers, too.

We offer genetic testing and counseling to see if you have Lynch syndrome. If you do, we'll set up more frequent colonoscopies (usually every one to two years) to catch any problems early. When needed, we work with other specialists, especially gynecology. For some people, preventive surgery makes sense. We can also test your family members to see who else might be at risk.

Familial Adenomatous Polyposis (FAP)

FAP is rare but serious. People with FAP develop hundreds or even thousands of polyps in their colon. Without treatment, almost everyone with FAP will develop colon cancer at some point.

We start with genetic testing to confirm FAP. Surveillance begins in the teenage years. Many patients will need surgery to remove the colon before cancer develops. We also check the upper digestive tract for polyps and help screen family members who might have inherited the same condition.

If your cancer has spread beyond the colon, you need a team with deep experience in stage IV disease. Our specialists meet regularly to review complex cases and find the best path forward for each person.

We discuss every available treatment option, look for clinical trials that might help, and bring in palliative care specialists who focus on keeping you comfortable and maintaining your quality of life.

When Cancer Has Spread to Just a Few Places

If imaging shows cancer in only a limited number of spots, we often take an aggressive approach. We might combine surgery to remove tumors, ablation to destroy them with heat or cold, and radiation. The goal is long-term control or even cure when possible.

When Cancer Is More Widespread

For more extensive disease, we focus on systemic treatments that work throughout your body. We manage symptoms, explore clinical trial options, and make sure you have good supportive care. We also help with advance care planning so your wishes are clear.

Colorectal cancer is showing up more often in people under 50. If you're younger than the typical patient, cancer affects your life differently. You might be worried about having children someday, managing work, or supporting young kids at home.

Our program gets it. We move quickly with evaluation and treatment. We talk about fertility preservation before starting treatment that might affect it. We test for hereditary syndromes since younger patients are more likely to have genetic factors. We connect you with other young survivors who really understand what you're going through.