Colorectal cancer at a young age

2005 ◽  
Vol 128 (4) ◽  
pp. 1067-1076 ◽  
Author(s):  
Jonathan P. Terdiman
Keyword(s):  
2019 ◽  
Vol 156 (6) ◽  
pp. S-1431-S-1432
Author(s):  
David Kearney ◽  
Christy E. Cauley ◽  
Alexandra Aiello ◽  
Matthew Kalady ◽  
James M. Church ◽  
...  
Keyword(s):  

2020 ◽  
pp. 1-12
Author(s):  
Xuelian Lei ◽  
Shuailing Song ◽  
Xiao Li ◽  
Chong Geng ◽  
Chunhui Wang

2011 ◽  
Vol 29 (20) ◽  
pp. 2781-2786 ◽  
Author(s):  
Charles D. Blanke ◽  
Brian M. Bot ◽  
David M. Thomas ◽  
Archie Bleyer ◽  
Claus-Henning Kohne ◽  
...  

Purpose Colorectal cancer predominantly occurs in the elderly, but approximately 5% of patients are 50 years old or younger. We sought to determine whether young age is prognostic, or whether it influences efficacy/toxicity of chemotherapy, in patients with advanced disease. Methods We analyzed individual data on 6,284 patients from nine phase III trials of advanced colorectal cancer (aCRC) that used fluorouracil-based single-agent and combination chemotherapy. End points included progression-free survival (PFS), overall survival (OS), response rate (RR), and grade 3 or worse adverse events. Stratified Cox and adjusted logistic-regression models were used to test for age effects and age-treatment interactions. Results A total of 793 patients (13%) were younger than 50 years old; 188 of these patients (3% of total patients) were younger than 40 years old. Grade 3 or worse nausea (10% v 7%; P = .01) was more common, and severe diarrhea (11% v 14%; P = .001) and neutropenia (23% v 26%; P < .001) were less common in young (younger than 50 years) than in older (older than 50 years) patients. Age was prognostic for PFS, with poorer outcomes occurring in those younger than 50 years (median, 6.0 v 7.5 months; hazard ratio, 1.10; P = .02), but it did not affect RR or OS. In the subset of monotherapy versus combination chemotherapy trials, the relative benefits of multiagent chemotherapy were similar for young and older patients. Results were comparable when utilizing an age cut point of 40 years. Conclusion Young age is modestly associated with poorer PFS but not OS or RR in treated patients with aCRC, and young patients have more nausea but less diarrhea and neutropenia with chemotherapy in general. Young versus older patients derive the same benefits from combination chemotherapy. Absent results of a clinical trial, standard combination chemotherapy approaches are appropriate for young patients with aCRC.


2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e15096-e15096
Author(s):  
Dhauna Karam ◽  
Mohammed Al-Hamadani ◽  
Shah Pallavi ◽  
Mohamed Shanshal ◽  
Janos Molnar

e15096 Background: Colorectal cancer is the second leading cause of cancer related deaths in the United States. As per current screening guidelines, screening should begin by age 50 and be continued till age 75. Routine screening over 75 years is not recommended. Methods: Our primary objective was to compare survival time in patients undergoing colonoscopy aged 75 years or older to those aged 50-74. The study was conducted at Captain James A. Lovell Federal Health Care Center (FHCC), North Chicago, United States between 2002 and 2012. A retrospective chart review was performed for patients who underwent colonoscopy. Mortality in terms of survival time was compared between patients equal or older than 75 versus those aged 50-74 years with similar procedural indications and life expectancy of 5 years or more. Survival analysis was performed via Kaplan Meier curve with log-rank test. Results: A total of 213 patients were included in the study . Fifty one percent of the patients (108) were 50-74 years old (young age group), while 49% (105) were 75 or older (old age group). Patients had colonoscopy done for following indications: 92 (43%) screening colonoscopy, 62 (29.1%) diagnostic colonoscopy and 59 (27.7%) surveillance colonoscopy. There was no statistical difference between the age groups based on indication of colonoscopy (P = 0.899). Overall mean survival time for all patients was 123.6 months (10.3 years). Survival time was significantly higher for young age group with a mean overall survival of 131.1 months (10.9 years). Older age group had a mean overall survival time of 106.9 months (8.9 years). P-value = 0.009. The highest overall mean survival time was observed in patients who were under 75 and had colonoscopy for screening purposes 138.9 months (11.6 years) (P = 0.019). The lowest overall mean survival time was seen in those who were > 75 years and had colonoscopy due to diagnostic purposes 93.6 months(7.8 years). (P = 0.055) Conclusions: Although statistically significant higher survival time was noted in patients younger than 75, older patients also had a survival time of more than 7 years. This will impact the decision to offer screening colonoscopy to older people who will definitely benefit from the test.


2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e14055-e14055
Author(s):  
Khin Khin Nwe

e14055 Background: CRC is the tenth most common cause of cancer in 2006 Myanmar Cancer Statistic. Recently, increased incidence of CRC among young age has been seen in our population. Methods: Demographic data of CRC pts registered in medical oncology unit, YGH from January 2009 to September, 2011 were studied. Age under 40 yrs was considered as a young patient. Stage distribution were analyzed to study about young onset CRC pattern. Results: Among 351 CRC patients registered, 120pts (34.19%) were under 40 yrs old. In young age group, age range from 12 to 40 yrs (median 29.5 yrs). Male to female ration was 1:1.26. Left-sided cancer (splenic flexure to rectum) in 93 patients (77.5%) and right sided (caecum to transverse colon) cancer in 27 pts (22.5%). Six pts (5%) were stage I, 41 people (34.17%) with stage II. Forty-four patients (36.67%) were node positive Stage III and 29 people (24.17%) with distant metastasis, Stage IV. Conclusions: Three percent of colorectal cancers occur in patients younger than 40 years of age in World Cancer Data. However, one third of CRC pts registered within 3 yrs in our unit were under age 40.The commonest stage seen in those pts were stage III at initial diagnosed. According to this data, younger onset of CRC in Myanmar is increasing although it doesn’t reflect the whole population. Further larger study is required to prove it. [Table: see text]


2001 ◽  
Vol 93 (14) ◽  
pp. 1106-1108 ◽  
Author(s):  
S. Kong ◽  
Q. Wei ◽  
C. I. Amos ◽  
P. M. Lynch ◽  
B. Levin ◽  
...  

2014 ◽  
Vol 10 (Issue 1-2) ◽  
pp. 6-11
Author(s):  
Shawky El Haddad ◽  
Iman Abdel Hady ◽  
Amr Sakr ◽  
Tamer El-Nahas ◽  
Ahmed Rashad

2019 ◽  
Vol 43 (5) ◽  
pp. 477-486 ◽  
Author(s):  
Andrea C.B. Silva ◽  
Maria Fernanda B. Vicentini ◽  
Elizabeth Z. Mendoza ◽  
Fernanda K. Fujiki ◽  
Leonardo G. da Fonseca ◽  
...  

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