Your Good Health: Doctors differ on dietary advice in regard to Lynch syndrome

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Could you please tell me more information about Lynch syndrome? Does this mean that I will definitely end up getting cancer?

Dear Dr. Roach: I am a healthy 55-year-old woman who eats well and exercises six to seven times per week. Four years ago, I was diagnosed with Lynch syndrome. My primary care physician suggested testing after my sister died of cancer at the age of 48. All of my siblings have been tested, and each of us has it. Two of my nieces have also tested positive for it.

One doctor told me to eat little to no red meat, follow a Mediterranean-style diet, and exercise. Another told me: “Live your life and eat whatever you want. Lynch Syndrome is hereditary. No matter what you do, you’ll either get cancer, or you won’t!” Among family members, it is expected that half will inherit the Lynch mutation. Your family has been unlucky. I recommend that your other children get tested soon.

I strongly disagree with the doctor who suggested that diet isn’t important. When you are at a higher risk for cancer, it’s more important to have the healthiest lifestyle you can. A Mediterranean-style diet, which is high in fruits and vegetables and low in processed foods and meat, is likely to reduce your cancer risk, but it is critically important to continue screening.

 

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