Rates of colorectal cancer rising in younger people

Colorectal cancer is the second leading cause of death from cancer in the U.S. and, according to research published by the American Cancer Society, now ranks first in adults under the age of 50. The statistics on the rates by age have surprised the medical community.

According to the study, 45 percent of new colorectal cancer cases are being identified in adults younger than 65, while rates among older adults have been declining. The American Cancer Society estimates that about 55,230 people will die from the disease in 2026.

Colorectal cancer screening is a critical tool to fight the disease, because precancerous growths can be detected and removed before they develop into cancer. The American Cancer Society and U.S. Preventive Services task force both recommend the age to start screening for colorectal cancers is 45 for those at average risk.

For patients at higher risk, their physician may advise having an initial screening before age 45 or more frequent screening. These risk factors include:

·       A personal or family history of colorectal cancer, or of certain types of polyps

·       A personal history of ulcerative colitis or Crohn’s disease

·       A history of radiation in the abdomen or pelvis, in treatment of previous cancer(s)

·       A genetic and hereditary colorectal cancer syndrome, such as familial adenomatous polyposis (FAP) or Lynch syndrome

In addition to colonoscopy, the most commonly known screening, several types of tests can screen for colorectal cancer. Fecal occult blood test, sigmoidoscopy, virtual colonoscopy and DNA stool test are also used.

While we are doing a better job of screening for and removing polyps before they become cancerous, the overall lifestyle and diet choices of our population are driving up the risk and incidence of these cancers.

Beyond regular screenings, there are a number of lifestyle factors you can manage to reduce your risk of developing colorectal cancer. These include maintaining a healthy body weight; managing your Type 2 diabetes; minimizing red meats in your diet such as beef, pork, lamb and liver, and processed meats; avoiding smoking; and limiting your alcohol intake.

Just as with heart health, staying active and maintaining a healthy diet that includes plenty of fruits, vegetables and whole grains and limiting red meats and sugary drinks, may lower your risk.

Depending on your age, a colonoscopy screening may be a covered wellness test under your insurance plan – and most plans cover a colonoscopy completely as a follow-up test or diagnostic tool.

If you have a family history of colon cancer, or have reached age 45 or more, talk with your primary care provider to see if it’s time for you to begin screening, which test is right for you and how frequently to be screened.