Colorectal cancer in patients under the age of 40 years:
experience from a tertiary care centre in the Czech Republic

J 2017

Colorectal cancer in patients under the age of 40 years: experience from a tertiary care centre in the Czech Republic

KOCIAN, P., A. WHITLEY, Milan BLAHA and J. HOCH

Basic information

Original name

Colorectal cancer in patients under the age of 40 years: experience from a tertiary care centre in the Czech Republic

Authors

KOCIAN, P. (203 Czech Republic), A. WHITLEY (826 United Kingdom of Great Britain and Northern Ireland), Milan BLAHA (203 Czech Republic, guarantor, belonging to the institution) and J. HOCH (203 Czech Republic)

Edition

Acta Chirurgica Belgica, Brussels, ACTA MEDICAL BELGICA, 2017, 0001-5458

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

Belgium

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 0.420

RIV identification code

RIV/00216224:14110/17:00099601

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1080/00015458.2017.1321270

UT WoS

000419273900002

Keywords in English

Colorectal cancer; young patients; prognostic factors

Abstract

V originále

Introduction: Colorectal cancer (CRC) in young patients is not an uncommon disease. Reports on its behaviour in young patients are conflicting. The aim of this study was to investigate patient and tumour characteristics, treatment and prognosis of this disease. Methods: Our study group comprised all patients under the age of 40 years treated with CRC at the Department of Surgery at Motol University Hospital in Prague between the years 2005 and 2015. Results: Thirty-eight patients under 40 years of age diagnosed with CRC were included in the study. Five patients had Lynch syndrome and six had first-degree relatives with CRC. There were 22 rectal tumours. All but four patients underwent resection of the primary tumour, all patients received chemotherapy and 13 patients received biological therapy. Disease recurrence occurred in 25.8%. Five-year survival was 47.9%. Advanced disease and adverse histological subtypes were identified as poor prognostic factors. Conclusions: Colorectal cancer in young patients has a high incidence of predisposing conditions, aggressive histological features and advanced disease. Young patients are of a good state of health and thus should receive aggressive therapy. Clinicians should pay more attention to symptoms of CRC in young patients to be able to initiate early treatment.

Citovat

KOCIAN, P., A. WHITLEY, Milan BLAHA and J. HOCH. Colorectal cancer in patients under the age of 40 years: experience from a tertiary care centre in the Czech Republic. Acta Chirurgica Belgica. Brussels: ACTA MEDICAL BELGICA, 2017, vol. 117, No 6, p. 356-362. ISSN 0001-5458. Available from: https://dx.doi.org/10.1080/00015458.2017.1321270.

@article{1405050,
   author = {Kocian, P. and Whitley, A. and Blaha, Milan and Hoch, J.},
   article_location = {Brussels},
   article_number = {6},
   doi = {http://dx.doi.org/10.1080/00015458.2017.1321270},
   keywords = {Colorectal cancer; young patients; prognostic factors},
   language = {eng},
   issn = {0001-5458},
   journal = {Acta Chirurgica Belgica},
   title = {Colorectal cancer in patients under the age of 40 years: experience from a tertiary care centre in the Czech Republic},
   url = {https://doi.org/10.1080/00015458.2017.1321270},
   volume = {117},
   year = {2017}
}

TY  - JOUR
ID  - 1405050
AU  - Kocian, P. - Whitley, A. - Blaha, Milan - Hoch, J.
PY  - 2017
TI  - Colorectal cancer in patients under the age of 40 years: experience from a tertiary care centre in the Czech Republic
JF  - Acta Chirurgica Belgica
VL  - 117
IS  - 6
SP  - 356-362
EP  - 356-362
PB  - ACTA MEDICAL BELGICA
SN  - 00015458
KW  - Colorectal cancer
KW  - young patients
KW  - prognostic factors
UR  - https://doi.org/10.1080/00015458.2017.1321270
L2  - https://doi.org/10.1080/00015458.2017.1321270
N2  - Introduction: Colorectal cancer (CRC) in young patients is not an uncommon disease. Reports on its behaviour in young patients are conflicting. The aim of this study was to investigate patient and tumour characteristics, treatment and prognosis of this disease. Methods: Our study group comprised all patients under the age of 40 years treated with CRC at the Department of Surgery at Motol University Hospital in Prague between the years 2005 and 2015. Results: Thirty-eight patients under 40 years of age diagnosed with CRC were included in the study. Five patients had Lynch syndrome and six had first-degree relatives with CRC. There were 22 rectal tumours. All but four patients underwent resection of the primary tumour, all patients received chemotherapy and 13 patients received biological therapy. Disease recurrence occurred in 25.8%. Five-year survival was 47.9%. Advanced disease and adverse histological subtypes were identified as poor prognostic factors. Conclusions: Colorectal cancer in young patients has a high incidence of predisposing conditions, aggressive histological features and advanced disease. Young patients are of a good state of health and thus should receive aggressive therapy. Clinicians should pay more attention to symptoms of CRC in young patients to be able to initiate early treatment.
ER  -

KOCIAN, P., A. WHITLEY, Milan BLAHA and J. HOCH. Colorectal cancer in patients under the age of 40 years: experience from a tertiary care centre in the Czech Republic. \textit{Acta Chirurgica Belgica}. Brussels: ACTA MEDICAL BELGICA, 2017, vol.~117, No~6, p.~356-362. ISSN~0001-5458. Available from: https://dx.doi.org/10.1080/00015458.2017.1321270.

Detailed Information on Publication Record