CARCINOMA OF THE COLON UNDER THE AGE OF 40

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Abstract
Of 840 cases of carcinoma of the large bowel encountered in a 6.5 year period, 33 occurred in patients under 40 years of age, an incidence of 4%. Sixteen patients died of metastatic disease within 18 months of diagnosis. Six others died after longer follow-up periods. Three are alive with metastasis 24 months after diagnosis. Seven patients are without evidence of metastatic disease on follow-ups ranging from 5 to 48 months. If all 7 live 5 years, the best 5 year survival rate possible in this group is 21.7%. It is concluded that carcinoma of the colon metastasizes more rapidly in young adults.

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