Early-Onset Colorectal Cancer: Current Insights

Author:

Ullah Fauzia1ORCID,Pillai Ashwathy Balachandran2ORCID,Omar Najiullah1,Dima Danai13ORCID,Harichand Seema4

Affiliation:

1. Department of Translational Hematology and Oncology Research, Cleveland Clinic Foundation, Cleveland, OH 44195, USA

2. Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA

3. Department of Hematology and Medical Oncology, Taussig Cancer Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA

4. Department of Internal Medicine, Mission Cancer + Blood, University of Iowa, Des Moines, IA 50309, USA

Abstract

Over the past decade, the incidence of colorectal cancer has increased in individuals under the age of 50 years. Meanwhile, the incidence has gradually decreased in the older population. As described herein, we reviewed the available literature to summarize the current landscape of early-onset colorectal cancer, including risk factors, clinicopathological presentation, genetic makeup of patients, and management. Currently, early-onset colorectal cancer is treated similarly as late-onset colorectal cancer, yet the available literature shows that early-onset colorectal cancer is more aggressive and different, and this remains a significant unmet need. A detailed understanding of early-onset colorectal cancer is needed to identify risk factors for the increased incidence and tailor treatments accordingly.

Publisher

MDPI AG

Subject

Cancer Research,Oncology

Reference124 articles.

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3. Colorectal cancer screening for average-risk adults: 2018 guideline update from the American Cancer Society;Wolf;CA Cancer J. Clin.,2018

4. Early-onset Colorectal Cancer is Distinct From Traditional Colorectal Cancer;Yeo;Clin. Color. Cancer,2017

5. Increasing disparities in the age-related incidences of colon and rectal cancers in the United States, 1975–2010;Bailey;JAMA Surg.,2015

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