{"title":"Young onset colorectal cancer in hereditary syndromes","authors":"Thomas A. Sorrentino , B. Mark Zhao","doi":"10.1016/j.scrs.2025.101121","DOIUrl":null,"url":null,"abstract":"<div><div>Colorectal cancer (CRC) is a leading cause of cancer-related deaths globally, with rising concerns about its increased incidence in individuals under 50, termed young-onset CRC. Despite declines in CRC rates overall, young-onset CRC has risen by 1–3 % annually in the US and Europe. This rise is most pronounced in rectal cancer and is projected to result in significant growth in CRC cases among individuals aged 20–49 over the next decade. While most young-onset CRCs are sporadic, approximately 15 % of cases are linked to genetic syndromes. This review explores the genetic syndromes associated with young-onset CRC, distinguishing between polyposis and non-polyposis types, and discusses diagnostic strategies, management, and multidisciplinary care approaches essential for colorectal surgeons treating these patients.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 3","pages":"Article 101121"},"PeriodicalIF":0.5000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Colon and Rectal Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1043148925000429","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Colorectal cancer (CRC) is a leading cause of cancer-related deaths globally, with rising concerns about its increased incidence in individuals under 50, termed young-onset CRC. Despite declines in CRC rates overall, young-onset CRC has risen by 1–3 % annually in the US and Europe. This rise is most pronounced in rectal cancer and is projected to result in significant growth in CRC cases among individuals aged 20–49 over the next decade. While most young-onset CRCs are sporadic, approximately 15 % of cases are linked to genetic syndromes. This review explores the genetic syndromes associated with young-onset CRC, distinguishing between polyposis and non-polyposis types, and discusses diagnostic strategies, management, and multidisciplinary care approaches essential for colorectal surgeons treating these patients.
期刊介绍:
Seminars in Colon and Rectal Surgery offers a comprehensive and coordinated review of a single, timely topic related to the diagnosis and treatment of proctologic diseases. Each issue is an organized compendium of practical information that serves as a lasting reference for colorectal surgeons, general surgeons, surgeons in training and their colleagues in medicine with an interest in colorectal disorders.