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‹ Tue · 12 May 2026
Early cancer detection or prevention

Early-onset colorectal cancer: a comprehensive review reframing hypotheses and defining research priorities

Young-onset colorectal cancer research identifies missing diagnostic strategies and calls for biology-informed screening to catch cases earlier.

This narrative review critically examines the molecular landscape, diagnostic gaps, and treatment paradigms of early-onset CRC (diagnosed <50y), noting that despite multi-omics and liquid biopsy advances, no EOCRC-specific diagnostic approaches exist and age-based screening policies systematically delay diagnosis. The authors argue for biology-informed, risk-adapted screening strategies and call for EOCRC-focused clinical trials to address growing incidence.

What the study was

Study design
Narrative review
Population
Patients with colorectal cancer diagnosed before age 50
Category
Early Detection
Maturity
Exploratory
Journal
International Journal of Colorectal Disease

Why it surfaced

Growing incidence of early-onset CRC with documented screening gap; review highlights liquid biopsy and multi-omics as underutilized tools for EOCRC early detection. Timely review framing research priorities for an emerging epidemiological trend.

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