Early Onset Metastatic Colorectal Cancer: Current Insights and Clinical Management of a Rising Condition.

colorectal cancer early onset screening

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
05 Jul 2023
Historique:
received: 31 05 2023
revised: 19 06 2023
accepted: 26 06 2023
medline: 14 7 2023
pubmed: 14 7 2023
entrez: 14 7 2023
Statut: epublish

Résumé

Despite a recent overall decrease in colorectal cancer (CRC) incidence and mortality, there has been a significant rise in CRC diagnoses in young adults. Early onset colorectal cancer (EOCRC) is defined as CRC diagnosed before the age of 50. Possible predisposing conditions include not only genetic syndromes but also other risk factors, such as microbiome alteration, antibiotic exposure, obesity, diabetes mellitus, and inflammatory bowel disease. EOCRC tends to be diagnosed later than in the older counterpart because of a lack of awareness and the fact that screening for CRC usually starts at the age of 50. Furthermore, CRC in young adults seems to be related to unique molecular features and more aggressive clinical behavior. This paper aims to provide an in-depth review of this poorly understood subject, with a comprehensive review of the state of the art and considerations for future perspectives.

Identifiants

pubmed: 37444619
pii: cancers15133509
doi: 10.3390/cancers15133509
pmc: PMC10341111
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Bianca Medici (B)

Department of Oncology and Hematology, Division of Oncology, University Hospital of Modena, 41124 Modena, Italy.

Beatrice Riccò (B)

Department of Oncology and Hematology, Division of Oncology, University Hospital of Modena, 41124 Modena, Italy.

Eugenia Caffari (E)

Department of Oncology and Hematology, Division of Oncology, University Hospital of Modena, 41124 Modena, Italy.

Silvia Zaniboni (S)

Department of Oncology and Hematology, Division of Oncology, University Hospital of Modena, 41124 Modena, Italy.

Massimiliano Salati (M)

Department of Oncology and Hematology, Division of Oncology, University Hospital of Modena, 41124 Modena, Italy.

Andrea Spallanzani (A)

Department of Oncology and Hematology, Division of Oncology, University Hospital of Modena, 41124 Modena, Italy.

Ingrid Garajovà (I)

Medical Oncology Unit, University Hospital of Parma, 43100 Parma, Italy.

Stefania Benatti (S)

Department of Oncology and Hematology, Division of Oncology, University Hospital of Modena, 41124 Modena, Italy.

Chiara Chiavelli (C)

Laboratory of Cellular Therapy, Division of Oncology, Department of Medical and Surgical Sciences for Children & Adults, University of Modena and Reggio Emilia, 41121 Modena, Italy.

Massimo Dominici (M)

Department of Oncology and Hematology, Division of Oncology, University Hospital of Modena, 41124 Modena, Italy.

Fabio Gelsomino (F)

Department of Oncology and Hematology, Division of Oncology, University Hospital of Modena, 41124 Modena, Italy.

Classifications MeSH