Family history of colorectal cancer is recognized as a risk factor for
the disease and the development of colorectal cancer represents a sui
table model for illustrating multistep tumor development. Bleomycin in
duced chromosome sensitivity studies were done in 7 colorectal cancer
families consisting of 12 colorectal cancer patients and their 34 firs
t degree relatives and 12 sporadic colorectal patients for comparison
and identification of high risk family members with genetic instabilit
y. All patients and 4 unaffected relatives showed increased bleomycin
sensitivity, which might be due to defective DNA repair system. These
four relatives may be classified as high risk (without cancer at prese
nt) individuals. The study is being continued in more number of famili
al colorectal cancer patients and their relatives to arrive at definit
e conclusions.