International Journal of Colorectal Disease

, Volume 25, Issue 7, pp 823–828

Clinicopathological features of colorectal cancer in patients under 40 years of age

Original Article

DOI: 10.1007/s00384-010-0914-9

Cite this article as:
Mäkelä, J.T. & Kiviniemi, H. Int J Colorectal Dis (2010) 25: 823. doi:10.1007/s00384-010-0914-9



The aim was to identify the clinical factors and tumour characteristics that predict survival in patients younger than 40 years with colorectal adenocarcinoma.

Material and methods

Fifty-nine patients with colorectal cancer aged under 40 years were identified from a computer database, and their clinical variables were analysed. The factors predicting long-term survival were compared by both univariate and multivariate analysis.


The prevalence of positive family history of cancer was 27%, and predisposing factors were present in 31% of the patients. All patients underwent resective surgery, 76% radical and 24% palliative resection, and their 5-year survival was 59% and mean survival ±75 months. The recurrence rate after radical resection was 38% being 14%, 30%, 78% and 100% in Dukes classes A, B, C and D. The cumulative 5-year survival of men, 45%, was significantly worse than that of women, 73%, and this phenomenon was closely related to more distended lymphatic and venous invasion of cancer in men. Kaplan–Meier estimates showed that gender, Dukes staging, grade of tumour, lymphatic invasion, the number of lymph nodes with metastases, venous invasion and size of tumour were significant predictors of survival, but in Cox regression model, only venous invasion was the independent prognostic factor of survival.


Young men with colorectal cancer in Northern Finland have poorer prognosis than women. Venous invasion is an independent predictor of survival.


Colorectal cancerYoung agePredisposing conditionsPathologySurvival

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  1. 1.Department of SurgeryOulu University HospitalOuluFinland
  2. 2.Department of Surgery, Division of GastroenterologyUniversity of OuluOuluFinland