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Colorectal cancer (CRC) refers to malignant tumors arising from the epithelium of the colon or rectum, typically through the adenoma–carcinoma sequence.

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Colorectal carcinoma - causes, symptoms, diagnosis, treatment, pathology

https://www.youtube.com/watch?v=A6v-y6hr4EQ

https://www.youtube.com/watch?v=v9nmRjmHJ-U

https://www.youtube.com/watch?v=44Eq2pZO9LM

Epidemiology


https://doi.org/10.3390/cancers14071732

https://doi.org/10.1038/s41575-019-0189-8

Feature Details
Global incidence ~1.9 million new cases/year (GLOBOCAN 2020)
Peak age 60–75 years
Sex distribution Slight male predominance
Trends Rising in younger populations; screening improves early detection

![The majority of colorectal cancers (CRCs) arise sporadically through acquired somatic genomic alterations, whereas 35–40% of cases are associated with inherited CRC susceptibility. The heritable components are contributed by family history of CRC, hereditary cancer syndromes, known common but low-penetrance genetic variations and other inherited aberrations yet to be discovered. Regardless of whether CRCs arise sporadically or have hereditary components, environmental factors can influence their carcinogenesis. For example, a substantial proportion of CRCs clustered in individuals with a positive family history are not inherited, but occur through acquired genomic aberrations.

FAP, familial adenomatous polyposis; HNPCC, hereditary nonpolyposis colorectal cancer.

Keum, N., Giovannucci, E. Global burden of colorectal cancer: emerging trends, risk factors and prevention strategies. Nat Rev Gastroenterol Hepatol 16, 713–732 (2019). https://doi.org/10.1038/s41575-019-0189-8](attachment:793b8467-ad45-4649-a2b2-e27d2d26e46b:41575_2019_189_Fig1_HTML.webp)

The majority of colorectal cancers (CRCs) arise sporadically through acquired somatic genomic alterations, whereas 35–40% of cases are associated with inherited CRC susceptibility. The heritable components are contributed by family history of CRC, hereditary cancer syndromes, known common but low-penetrance genetic variations and other inherited aberrations yet to be discovered. Regardless of whether CRCs arise sporadically or have hereditary components, environmental factors can influence their carcinogenesis. For example, a substantial proportion of CRCs clustered in individuals with a positive family history are not inherited, but occur through acquired genomic aberrations.

FAP, familial adenomatous polyposis; HNPCC, hereditary nonpolyposis colorectal cancer.

Keum, N., Giovannucci, E. Global burden of colorectal cancer: emerging trends, risk factors and prevention strategies. Nat Rev Gastroenterol Hepatol 16, 713–732 (2019). https://doi.org/10.1038/s41575-019-0189-8

Etiology


Risk Factors


https://doi.org/10.1016/j.chom.2025.03.012

https://doi.org/10.1002/fft2.478

Lifestyle and Environmental

Inflammatory bowel disease (IBD):

Pathogenesis