Understanding the rise in colorectal cancer in under-50s

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Understanding the rise in colorectal cancer in under-50s
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The American Cancer Society says colorectal cancer is rising 3% a year among adults under 50.

PHILADELPHIA --It is now the leading cause of cancer death for them and that's prompting concern among doctors. "Even as a specialist in this area, the report is striking," says Dr. Jason Castellanos, a gastrointestinal cancer surgeon at Fox Chase Cancer Center.

The American Cancer Society says colorectal cancer is rising 3% a year among adults under 50 - up 4% among Hispanics, 3% in Asians and Pacific Islanders, and 2% in Blacks. And when they are diagnosed, "75% have advanced disease, meaning it's spread elsewhere and the liver is the number one site," says Dr. Castellanos. He and Dr. Christopher Cann, a medical oncologist at Fox Chase, say the symptoms may seem more benign. "Constipation, diarrhea, some mild abdominal pain, fatigue, or even bloody stools can be attributed to hemorrhoidal bleeding," Dr Cann explains. Actor James Van Der Beek, who died of colorectal cancer at 48, blamed coffee for a change in bowel habits. The doctors say younger adults more often have tumors in the left colon than in the past. And under the microscope, they are more aggressive and chemo-resistant.A hepatic arterial infusion pump used by Dr. Castellanos is an example.The pump delivers high doses of a chemotherapy drug Dr. Cann uses directly to the liver, killing tumors with fewer side effects than when it goes throughout the whole body from a chemo drip.* Adopt a healthy lifestyle with more exercise and less red and processed meats and less alcohol* Get screened starting at age 45And be aware of your body. Don't wait if something changes."41% of those patients waited over six months to see a physician, and nearly two-thirds of these patients saw two or more physicians before they were diagnosed," he says. They say fellow doctors also need to be aware of this trend, and not dismiss the possibility of a cancer. They want everyone to take symptoms seriously.

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