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Living with Hereditary mixed polyposis syndrome

An inherited condition with several types of growths (polyps) in the colon and a higher risk of colorectal cancer.

Understanding Hereditary mixed polyposis syndrome

Hereditary mixed polyposis syndrome (HMPS) is an inherited large-bowel condition with a mix of polyp types.

People have hyperplastic, atypical juvenile, and adenomatous polyps. GARD says it raises the risk of colorectal cancer if left untreated. It starts in childhood. Rectal bleeding and anemia can occur.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Many polyps in the colon and rectum
  • Rectal bleeding
  • Anemia that does not respond to treatment
  • Colon cancer
  • Abnormal bleeding

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include cancer specialists, digestive system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    FORCE: Facing Our Risk of Cancer Empowered may keep lists of experts for this condition.

Care & treatment

Care team
Cancer specialists (oncologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Expert lists: FORCE: Facing Our Risk of Cancer Empowered
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with FORCE: Facing Our Risk of Cancer Empowered
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How often should I have a colonoscopy?
Should family members be screened or have genetic testing?
When should polyps be removed?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this condition. It is autosomal dominant, so one changed copy of the gene is enough.

GeneticGastrointestinal

Also known as: hereditary mixed polyposis; hmps; hmps - hereditary mixed polyposis syndrome

Patient organizations

Source: NIH GARD · Hereditary mixed polyposis syndromeGARD ID 16981 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Hereditary mixed polyposis syndrome.

Explore the Hereditary mixed polyposis syndrome blog

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