Colorectal and breast cancers account for a significant number of deat
hs due to malignant neoplasia. Laboratory medicine plays an important
role in the diagnosis and management of these tumors through the appli
cation of histopathology, immunohistochemistry, and serologic identifi
cation of tumor markers. Approximately 5% to 10% of colorectal and bre
ast cancers result from an inherited predisposition. The genes respons
ible for most genetically transmitted cancers have been identified, an
d the application of findings from molecular pathology are being evalu
ated. This article reviews the genetic changes that occur as a result
of somatic mutation and inherited or germline mutations.