Insights to multidisciplinary care in early onset colorectal cancer

Abstract

Early onset colorectal cancer (EO-CRC) is growing steadily, despite increased efforts in screening and early detection. Although genomically similar to average-onset colorectal cancer (AO-CRC), younger patients face distinct clinical, psychosocial and economic challenges. While the general guidelines for detection and treatment are the same across age groups, we aim here to describe some of the unique challenges faced by younger patients. These include diagnostic delays, fertility concerns, and unique emotional and financial burdens. In this review, we explore the multidimensional needs of EO-CRC patients, including barriers to early detection, the impact of treatment on reproductive health and relationships, and the long-term financial and psychological toll. Addressing these challenges requires a tailored, multidisciplinary approach that goes beyond standard oncologic care.