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MSH2: Cancer Risks

People with a mutation in the MSH2 gene have Lynch syndrome and an increased risk for several types of cancer. Learn about these cancer risks. Stay up to date by signing up for our community newsletter.
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Cancer Risks Associated with Inherited Mutations

People with an mutation have . mutations increase the risk for colorectal, endometrial and other types of cancer listed in the table below. 

If you or a relative have tested positive for an mutation, we recommend speaking with a genetics expert. They can look at your personal and family medical history to help you understand and decide on a plan for managing your risk. 


Cancer risk table

Cancer Type

Lifetime Risk with an MSH2 Mutation

Lifetime Risk for General Population

Average Age of Onset with MSH2

Average Age of Onset in General Population

Colorectal

33-52%

4.1%

44 years

68-72 years

Endometrial

21-57%

3.1%

47-48 years

60 years

Ovarian

8-38%

1.1%

43 years

63 years

Kidney/ureter

2.2-28%

Unknown

54 - 61 years

No data

Bladder

4.4 - 12.8%

2.4%

59

73 years

Gastric

0.2-9%

0.8%

52 years

68 years

Small bowel

1.1 - 10%

0.3%

48 years

60s - 70s

Prostate

3.9 - 23.8%

12.6%

59 - 63 years

66 years

Brain

2.5 - 7.7%

0.5%

No data

59 years

Biliary tract

0.02-1.7%

0.2%

57 years

No data

Risk for cancer in people with an inherited EPCAM mutation. Source: NCCN Guidelines: Genetic/Familial High-Risk Assessment: Colorectal, Endometrial, Gastric vs. 1 2024


Other cancers

People with an inherited mutation may have an increased risk for other cancers. The exact risks for the following cancers are unknown:

  • pancreatic cancer
  • sebaceous skin growths
  • female breast cancer

Research on how inherited mutations in the gene affect cancer risk is ongoing.

It is important to note that cancer risks are estimates over the course of a person's lifetime. Your lifetime risk and risk over the next five years will vary depending on:

  • current age
  • sex assigned at birth
  • specific mutation
  • personal and family health history
  • diet, exercise, lifestyle and other factors

Last updated August 29, 2024