“…11 Each year, Lynch syndrome accounts for 1%-3% of all colorectal cancer cases. 12 For Lynch syndrome, in our department in Somalia could not studied using immunohistochemistry (MSH2, MLH1, PMS2), microsatellite instability, (analysis with the Bethesda panel), mononucleotide markers (D2S123, D5S346, D17S250), dinucleotide markers (BAT25, and BAT26) and DNA mismatch repair gene (i.e., MSH2, MLH1, MSH6) because of it was very expensive. 13 In conclusion, our patient was originally a case of MAC with synchronous bilateral giant KT and PC.…”