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Review
. 2025 Oct;105(5):925-939.
doi: 10.1016/j.suc.2025.06.002. Epub 2025 Jul 25.

Microbiome of Young and Later-Onset Colorectal Cancer

Affiliations
Review

Microbiome of Young and Later-Onset Colorectal Cancer

Norman J Galbraith et al. Surg Clin North Am. 2025 Oct.

Abstract

Young-onset colorectal cancer (YOCRC) is increasingly common in the Western world. This has been attributed to changes in diet, lifestyle, and other environmental factors which all influence the gut microbiome. This review summarizes a small number of studies that have demonstrated differences in the microbiome of YOCRC, assessed in the stool and tumoral compartment. These populations are distinct from LOCRC and are prognostically important. Further research may reveal their role in the pathogenesis of this epidemic, and microbiological interventions can alter or augment existing treatment responses.

Keywords: Colorectal cancer; Early-onset; Microbiome; Young-onset.

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Conflict of interest statement

Disclosures The authors have nothing to disclose.