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Updated: Jun 16, 2026
Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
Colorectal carcinoma in young adults: a retrospective study on Indian patients: 2000-2008
S Gupta1, D Bhattacharya, A N Acharya
1Department of Surgery, IPGMER, Kolkata, India. shahanagupta@yahoo.co.in
Aim:
To highlight an increased incidence of colorectal cancer (CRC) amongst young Indian adults.
Method:
A retrospective study of 305 cases of CRC admitted to SSKM Hospital, Kolkata, India during 2000-2008 was carried out.
Results:
The ratio (0.64) of under-40 to above-40 CRC patients reported in this study is comparable to those from premier Oncology Centers in India (∼0.52) and is higher than those in the Indian National Cancer Registry (∼0.20) and international average (0.07). Distinctive tumour characteristics in younger patients including left-sided lesion (69.7%), presentation at an advanced (III/IV) stage (60%), poor histological differentiation (50%) and predominance of mucin-secreting adenocarcinoma (80%) are similar to those reported in the international literature. Some features are suggestive of hereditary non polyposis colorectal cancer syndrome, which may be a possible reason for the high proportion of young CRC patients.
Conclusion:
A high index of suspicion for CRC among young Indian adults is necessary.
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