Abstract
Lynch syndrome, aged 35 years or older, who have completed child-bearing. l If a woman with Lynch syndrome is undergoing surgery for colorectal carcinoma, consideration should be made for the concurrent performance of a hysterectomy and bilateral salpingo-oophorectomy. l Women with Lynch syndrome undergoing prophylactic hysterectomy may have an occult malignancy; therefore, preoperative endometrial biopsy and CA-125 should be considered. l Patients undergoing prophylactic hysterectomy for Lynch syndrome should have an intraoperative evaluation of the uterus and ovaries.