New technologies in molecular biology will allow the improvement of sc
reening, diagnosis and prognosis of colorectal cancer patients. For ex
ample the determination of germline mutation in APC or in mismatch rep
air genes in patient with familial adenomatous polyposis or with HNPCC
is now possible. The clinical surveillance can be restricted to the p
atients with these germline defects. More over the knowledge of somati
c genetic alterations in colorectal cancer cells seems to be useful in
the determination of prognosis of these patients or in order to predi
ct the chemotherapy response.