Colorectal Cancer: New trends in demographics and treatment

ATLANTA Medicine: A 34-year-old postpartum female with known hemorrhoids presents with bright red blood per rectum. It's no longer appropriate to prescribe suppositories and instruct her to call if symptoms persist. She needs a colonoscopy (not a fecal DNA test) because we are seeing a worrisome shift in colorectal cancer (CRC) in younger patients. 

Colorectal cancer is decreasing worldwide in the population over age 50 due to more aggressive screening, however early-onset colorectal cancer (EOCC), defined as those diagnosed before age 50, is rising at an alarming rate, with left-sided colon and rectal cancers predominating. 

This has led the American Cancer Society to lower the screening age for normal-risk patients from 50 to 45. However, this may not be adequate as individuals born in the 1990s have double the risk of colon cancer and quadruple the risk of rectal cancer compared to adults born in the 1950s at their same age.

Read the full article as it appeared in ATLANTA Medicine.


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Dr. Wayne Ambroze

Specialties: Colon & Rectal Surgery, General Surgery, Surgery

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Dr. Ambroze is board-certified by the American Board of Surgery and the American Board of Colon & Rectal Surgery. He is a fellow of The American College of Surgeons and the American Society of Colon and Rectal Surgeons, and a member of the Alpha Omega Alpha medical honor society and the American Medical Association. He has been voted by his peers as a top doctor in Atlanta many times over the last two decades.

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