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Review
. 2022 Aug 22:82:104453.
doi: 10.1016/j.amsu.2022.104453. eCollection 2022 Oct.

Early onset colorectal cancer: Challenges across the cancer care continuum

Adhari AlZaabi  1 , Amna AlHarrasi  2 , Atika AlMusalami  3 , Nawal AlMahyijari  2 , Khalid Al Hinai  4 , Humaid ALAdawi  5 , Humaid O Al-Shamsi  6   7   8
Affiliations
Review

Early onset colorectal cancer: Challenges across the cancer care continuum

Adhari AlZaabi et al. Ann Med Surg (Lond). .

Abstract

Early Onset Colorectal cancer (EOCRC) incidence is increasing at an alarming pace. An increase of 90% in colon cancer and 124% in rectal cancer is expected by 2030. Patients with EOCRC are not receiving additional attention compared to older patients despite having a unique molecular pattern, majority of cases are sporadic, and related short- and long-term treatment and disease complications. The current management and screening guidelines have been constructed from studies on late onset CRC. Plethora of studies are ongoing to understand this disease entity in order to construct a tailored prevention, detection and management plans. While waiting for a better understanding of the disease, efforts should be directed toward improving the quality of care across the cancer continuum. Here we aim to address the challenges faced by EOCRC patients across the cancer continuum. This will facilitate directing future efforts and research toward construction of a personalized and precise guidelines.

Keywords: Adolescence and young adult; Early onset colorectal cancer; Palliative care; Prevention; Screening; Survivorship.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Image 1
Graphical abstract
Fig. 1
Fig. 1
Challenges faced by Young adult with colorectal cancer across the cancer care continuum.
Fig. 2
Fig. 2
The reported accumulative risk factors for EOCRC.
Fig. 3
Fig. 3
Different levels of diagnosis delay of colorectal cancer among young Adults.
Fig. 4
Fig. 4
The most reported presenting symptoms among young and old colorectal patients.
Fig. 5
Fig. 5
Common challenges perceived by young adult survivors of colorectal cancer.
Fig. 6
Fig. 6
Common challenges in palliative care of young adult patients with colorectal cancers and potential solutions.
See this image and copyright information in PMC

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