Guidelines are presented for the establishment of a regional or nation
al register of patients with familial adenomatous polyposis. The detai
led recommendations are based on the work in committees of the ''Leeds
Castle Polyposis Group'' and the ''EuroFAP''. The aims of national an
d regional polyposis registers are discussed, and the stages of develo
pment of a register are reviewed: Ascertainment of probands, construct
ion of pedigrees, identification of family members at risk, and screen
ing of members at risk. The problem of data confidentiality is discuss
ed.