Colorectal cancer in young patients in israel: A distinct clinicopathological entity

L. Shemesh-Bar, Y. Kundel, E. Idelevich, J. Sulkes, A. Sulkes, B. Brenner

Research output: Contribution to journalArticlepeer-review


Purpose This study was designed to characterize the entity of colorectal cancer (CRC) in young patients and to evaluate whether it has any unique epidemiological or clinicopathological features. Methods The study population consisted of all consecutive young (B50 years old at diagnosis) patients with CRC who were diagnosed during the years 1997-2007 and were treated at our institution, and a matching group of patients ([50 years at diagnosis). The medical files of these patients were reviewed, and the epidemiological, clinical, and pathological features of both groups were compared. Results There were 406 patients: 203 in each group. The features of the older group were typical for patients with CRC, but the younger group showed female predominance, different ethnic composition, prevalence of family history of cancer and hereditary CRC syndromes, and lower incidence of polyps. The incidence of left-sided tumors and advanced stages (III-IV) at diagnosis was higher in the younger patients. Mucinous/signet ring histology, grade, stage, lymphatic and vascular invasion were all predictive of survival, whereas age was not. Conclusions Colorectal cancer in young patients was found to display a cluster of unique characteristics but fewer than previously reported and young age by itself was not found to impact patient outcome.

Original languageEnglish
Pages (from-to)2701-2709
Number of pages9
JournalWorld Journal of Surgery
Issue number11
StatePublished - Nov 2010


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