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Rectal Cancer Deaths Surge in Younger Adults, Outpacing Colon Cancer

A preliminary analysis of CDC death records raises urgent questions about how to catch cases earlier.

Overview

  • Reports published Thursday detail a preliminary study of CDC death records from 1999 to 2023 showing a sharp rise in rectal cancer deaths among adults ages 20 to 44.
  • The study, which has not yet been peer-reviewed and will be presented at Digestive Disease Week in May, found rectal cancer mortality increasing two to three times faster than colon cancer across groups.
  • Researchers projected that, if current patterns persist, rectal cancer deaths could surpass colon cancer deaths in younger adults by 2035.
  • The steepest increases were seen in Hispanic adults and in parts of the Western United States, prompting calls for faster evaluation of rectal bleeding and other symptoms.
  • U.S. screening generally starts at age 45, yet many younger patients are diagnosed after the disease has spread, which is driving interest in earlier symptom work-ups and more use of flexible sigmoidoscopy to spot rectal tumors.