Hereditary nonpolyposis colorectal cancer is the most commonly occurring familial colorectal cancer syndrome. Knowledge of the clinical and pathological characteristics of the syndrome and the possible association with extracolonic malignancies is crucial for identifying patients and families that would benefit from genetic counseling and testing. Management strategies to address the increased cancer risk in carriers include targeted surveillance and prophylactic surgery. Surgery limitations and related adverse effects on morbidity and quality of life should always be discussed in extensive preoperative counseling. Chemoprevention may prove helpful but remains in a state of discovery.
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The use of dumbbells gives you a much more comprehensive strengthening effect because the workout engages your stabilizer muscles, in addition to the muscle you may be pin-pointing. Without all of the belts and artificial stabilizers of a machine, you also engage your core muscles, which are your body's natural stabilizers.