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Living with Mismatch repair cancer syndrome 1

An inherited condition with many colon polyps and a higher chance of colorectal cancer and brain tumors.

Understanding Mismatch repair cancer syndrome 1

Mismatch repair cancer syndrome 1 is an inherited condition with many colon polyps and a higher chance of colorectal cancer and brain cancer.

It may be linked with familial adenomatous polyposis (FAP) or Lynch syndrome. The brain tumors linked with APC gene changes are typically medulloblastoma, while those with mismatch repair gene changes are usually glioblastoma multiforme. Some people also have skin patches called cafe-au-lait spots.

Signs & symptoms

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

  • Many polyps in the colon
  • Brain tumors, such as glioblastoma or astrocytoma
  • Lymphoma (cancer of the lymph system)
  • Light brown skin patches (cafe-au-lait spots)
  • Missing corpus callosum (the bridge between brain halves)
  • Gray matter that formed in the wrong place

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

    Your doctor may refer you to a specialist who knows rare conditions.

  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
A doctor familiar with rare conditions, plus specialists as needed
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 and other patient organizations
  • 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
Which gene is changed in my family, and can genetic testing find it?
How often should I have colon exams and other screening?
Should other family members be tested?

Quick facts

InheritanceAutosomal Recessive

Most mismatch repair cancer syndromes are due to a change in the APC gene (linked with FAP) or in a mismatch repair gene such as MLH1 or PMS2 (linked with Lynch syndrome). GARD lists this condition as autosomal recessive in this record, but also notes it typically follows an autosomal dominant pattern.

Also known as: brain tumor-polyposis syndrome 1; btp1 syndrome; childhood cancer syndrome; mismatch repair deficiency; mlh1-related constitutional mismatch repair deficiency syndrome; mmr deficiency

Patient organizations

Source: NIH GARD · Mismatch repair cancer syndrome 1GARD ID 420 · 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 Mismatch repair cancer syndrome 1.

Explore the Mismatch repair cancer syndrome 1 blog

Explore research for Mismatch repair cancer syndrome 1

Explore actively recruiting Mismatch repair cancer syndrome 1 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Mismatch repair cancer syndrome 1 with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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