Peer-Reviewed Publication
Oncol Ther2026September 16, 2026Journal Article

Early-Onset Colorectal Cancer: Clinical and Molecular Features with Emerging Insights from Comprehensive Genomic Profiling.

Amanda Nogueira1, Jennifer Brondon1, Konstantin Haradinov1, Srinivasan Gopalakrishnan2, Krane Huang1, Debasri Mukherjee1, Smita Agarwal3, Kyle C Strickland4,5, Laura Vidal1, Chinmayee Joshi1, Rebecca Brookes2, Rajeev Prasad6, Soma Das1, Arun K Mankan1, Archana Munje1, Begona de Las Heras1, Brajendra Prasad Singh7, Daniel Gandia1, Shakti Ramkissoon4,8, Fahmi Sabr Raza9, Isagani Chico1, Sharadchandra K Prasad9, Judith Perez10, Anumeha Prasad11, Debashis Sarker12, Julien Taieb13, Kamal S Saini14,15
1Fortrea Inc., Durham, NC, USA.
2East Suffolk and North Essex NHS Foundation Trust, Ipswich, UK.
3ConcertAI, Bangalore, India.
4Labcorp Oncology, Durham, NC, USA.
5Department of Pathology, Duke University Medical Centre, Durham, NC, USA.
6Barking, Havering and Redbridge University Hospitals NHS Trust, Romford, UK.
7Max Smart Super Specialty Hospital, Saket, New Delhi, India.
8Department of Pathology, Wake Forest Comprehensive Cancer Centre, Wake Forest School of Medicine, Winston-Salem, NC, USA.
9Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, UK.
10The Larvol Group, San Francisco, USA.
11Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK.
12Guy's and St Thomas' NHS Foundation Trust, London, UK.
13Université Paris Cité, SIRIC CARPEM, Georges Pompidou European Hospital, Paris, France.
14Fortrea Inc., Durham, NC, USA. Kamal.saini@nhs.net.
15Department of Medical Oncology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK. Kamal.saini@nhs.net.

Abstract

Early‑onset colorectal cancer (EOCRC), defined as colorectal cancer (CRC) diagnosed before 50 years of age, is increasing globally. Colorectal cancer is currently the third most commonly diagnosed cancer and the second leading cause of cancer-related death worldwide, with GLOBOCAN 2024 estimating approximately 2.04 million new cases and 917,895 deaths in 2024. Recent studies indicate a sustained r…

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