Recent advances in pediatric colorectal cancer: a systematic review

  • 0Department of Pediatric Surgery, All India Institute of Medical Sciences, Bhatinda, India. drndhoat@gmail.com.

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Summary

This summary is machine-generated.

Pediatric colorectal cancer (PCRC) exhibits unique molecular profiles, differing from adult CRC, particularly in WNT and PI3K-AKT pathways. These findings emphasize the need for tailored, age-specific treatments and precision medicine approaches for improved PCRC outcomes.

Area Of Science

  • Oncology
  • Genetics
  • Pediatric Medicine

Background

  • Pediatric colorectal cancer (PCRC) is a rare but distinct entity.
  • Understanding its unique characteristics is crucial for effective management.

Purpose Of The Study

  • To review recent advances in pediatric colorectal cancer (PCRC).
  • Focus on molecular profiling, clinical and genetic features, screening, and treatment strategies.

Main Methods

  • A comprehensive PubMed search was conducted for pediatric colorectal cancer articles published in the last year.
  • 10 relevant articles focusing on molecular profiles or screening guidelines in pediatric cases were selected, detailing 38 tumors in 36 patients.

Main Results

  • PCRC presents with symptoms like abdominal pain, distension, vomiting, and obstruction.
  • Distinct genomic landscapes were observed compared to adult CRC, with differences in WNT and PI3K-AKT pathways.
  • Higher RNF43 mutations and CDK6 amplification were noted in PCRC, alongside potential mismatch repair deficiency.

Conclusions

  • Unique molecular signatures in PCRC necessitate age-specific treatment strategies.
  • Multidisciplinary care and precision medicine are vital for improving PCRC outcomes.