Table of Contents

Alex Campbell

Alex Campbell

Medical Content Writer
How Fast Does Colon Cancer Grow? Amazing Facts
How Fast Does Colon Cancer Grow? Amazing Facts 4

Colon cancer grows at different rates, depending on genetics and environment. Studies show it can take 10 to 15 years for a harmless polyp to turn cancerous.

The American Cancer Society predicts 107,320 cases of colon cancer and 46,950 cases of rectal cancer in the US by 2025. Knowing the colon cancer growth rate is key to preventing and treating it.

We will look at what affects colon cancer development and why catching it early is so important. By understanding these factors, we can see why regular screenings and new treatments are vital.

Key Takeaways

  • Colon cancer growth rate varies depending on genetic and environmental factors.
  • It can take 10 to 15 years for a benign polyp to become malignant.
  • The American Cancer Society estimates a significant number of colon and rectal cancer cases in the US.
  • Early detection is critical for effective prevention and treatment.
  • Regular screening and innovative care pathways are essential for managing colon cancer.

The Nature of Colon Cancer Development

How Fast Does Colon Cancer Grow? Amazing Facts
How Fast Does Colon Cancer Grow? Amazing Facts 5

>Colon cancer starts with normal cells in the colon turning into cancer. Knowing how this happens helps us find ways to stop it and treat it.

What Is Colorectal Cancer?

Colorectal cancer, or colon cancer, happens in the colon or rectum. It often starts from benign polyps, which are growths inside the colon or rectum. Not all polyps turn into cancer, but some types, like adenomatous polyps, can.

The Adenoma-Carcinoma Sequence

The adenoma-carcinoma sequence shows how normal cells in the colon can turn into cancer. This process involves changes in genes and how genes work. These changes help us find cancer early and prevent it.

Important changes in genes include mutations in the APC gene, the KRAS gene getting active, and changes in the TP53 gene. These changes help colorectal cancer grow and spread.

Cellular Changes During Development

As colorectal cancer develops, cells start to grow more, become abnormal, and form adenomas. More genetic changes happen as the disease gets worse, leading to invasive cancer.

These changes are caused by genetics and the environment. For example, eating a lot of red meat and not enough fiber can increase the risk of colon cancer. Knowing this helps us prevent it.

How Fast Does Colon Cancer Grow? The Timeline

How Fast Does Colon Cancer Grow? Amazing Facts
How Fast Does Colon Cancer Grow? Amazing Facts 6

Knowing how fast colon cancer grows is key to catching it early. It takes years for colon cancer to develop, influenced by genes, environment, and lifestyle.

The journey from a harmless polyp to a cancerous tumor can take 10-15 years on average. But, this time can change a lot for each person, based on many factors.

The 10-15 Year Average Development Period

The time it takes for colon cancer to grow is important for catching it early. Research shows it can take a decade or more for a benign polyp to turn cancerous.

This long time gives us a chance to find and remove precancerous polyps. Regular screenings are key to spotting and removing these polyps, lowering the risk of cancer.

Factors That Accelerate Growth

While most colon cancers take 10-15 years to grow, some factors can speed it up. These include:

  • Genetic mutations: Certain genetic changes, like those in Lynch syndrome or Familial Adenomatous Polyposis (FAP), can make cancer grow faster.
  • Lifestyle factors: Smoking, eating too much processed meat, and not moving enough can raise your risk of colon cancer.
  • Inflammatory conditions: Long-term inflammation in the colon, like in ulcerative colitis or Crohn’s disease, can also increase cancer risk.

Factors That May Slow Progression

On the other hand, some things might slow down colon cancer growth. These include:

  • Dietary influences: Eating more fruits, veggies, and whole grains, and less red and processed meats, may lower cancer risk.
  • Regular screening: Finding and removing polyps early can stop cancer from developing.
  • Lifestyle modifications: Staying at a healthy weight, exercising regularly, and not smoking can also help lower cancer risk.

Polyp Growth and Development

It’s important to know about polyp growth to catch colon cancer early. Colon polyps grow on the inside of the colon or rectum. They can turn into cancer over time.

How Long Does It Take for Polyps to Grow?

Polyps grow at different rates. It can take 10 to 15 years for a small polyp to turn into cancer. But, this time can vary for each person.

Many things can affect how fast polyps grow. These include your genes, lifestyle, and the type of polyp. For example, some polyps that can turn into cancer take years to do so.

From Benign Polyp to Malignant Tumor

Turning a benign polyp into a cancerous tumor involves genetic changes. This process, called the adenoma-carcinoma sequence, takes many years. Not all polyps will turn into cancer, but it’s important to watch them.

The size and type of polyp matter a lot. Bigger polyps are more likely to have cancer or turn into it.

The Importance of Polyp Size

Polyp size is key in figuring out cancer risk. Polyps over 1 cm in diameter are at higher risk. They might have cancer or turn into it.

Polyp Size

Cancer Risk

< 1 cm

Low

1-2 cm

Moderate

> 2 cm

High

Watching and removing polyps during colonoscopy can lower cancer risk. Knowing how polyps grow and their size is key. This helps in catching and preventing colon cancer early.

Types of Colon Polyps and Their Growth Patterns

Colon polyps can grow into cancer, so knowing their types is key. We’ll look at the different kinds and how they grow. This helps us understand their role in colon cancer risk.

Adenomatous Polyps: The Precancerous Type

Adenomatous polyps, or adenomas, can turn into cancer if not removed. The risk of an adenomatous polyp becoming cancerous depends on its size, histology, and degree of dysplasia. It’s important to watch them closely and remove them to stop cancer.

Hyperplastic Polyps: Usually Benign

Hyperplastic polyps are mostly harmless and rarely turn into cancer. They are often found in the distal colon and rectum. Even though they’re not precancerous, finding them might mean you’re at risk for other polyps.

Sessile Serrated Polyps: The Silent Threat

Sessile serrated polyps (SSPs) are hard to spot during a colonoscopy because they’re flat. SSPs have a higher risk of progressing to colorectal cancer, mainly in the proximal colon. It’s vital to have skilled endoscopists to find and remove these polyps.

Knowing about colon polyps and how they grow is vital for preventing cancer. By catching and removing polyps early, we can lower the risk of colon cancer.

Genetic Factors Influencing Colon Cancer Growth Rates

Genetic factors are key in how fast colon cancer grows. Some genetic mutations and hereditary syndromes can make colon cancer grow faster. We’ll look into these factors and how they affect colon cancer growth.

Hereditary Syndromes

Hereditary syndromes are passed down in families and raise the risk of colon cancer. Lynch syndrome and Familial Adenomatous Polyposis (FAP) are two examples.

  • Lynch Syndrome: Also known as hereditary nonpolyposis colorectal cancer (HNPCC), Lynch syndrome is caused by mutations in DNA mismatch repair genes. It significantly increases the risk of colon cancer, often leading to earlier onset.
  • FAP: FAP is characterized by the development of hundreds to thousands of polyps in the colon and rectum. If left untreated, the risk of these polyps turning into cancer is nearly 100% by age 40.

Genetic Mutations Accelerating Growth

Some genetic mutations can make colon cancer grow faster. Mutations in genes like KRAS, BRAF, and TP53 are linked to colorectal cancer progression.

  1. KRAS Mutations: Mutations in the KRAS gene are common in colorectal cancers and are associated with a more aggressive disease course.
  2. BRAF Mutations: BRAF mutations, like the V600E mutation, are linked to poorer outcomes in colon cancer patients.

Family History as a Risk Factor

A family history of colon cancer is a big risk factor. People with a first-degree relative (parent, sibling, or child) diagnosed with colon cancer are at higher risk.

  • Having multiple relatives with colon cancer increases the risk further.
  • The risk is also higher if the relative was diagnosed at a younger age.

Knowing about these genetic factors can help assess risk. It can also guide screening and preventive measures. We suggest those with a significant family history or known hereditary syndromes talk to a healthcare provider about their risks and how to manage them.

Environmental Factors Affecting Cancer Development Timeline

Environmental factors greatly impact colon cancer development. Our surroundings and lifestyle choices are key. They influence how fast colon cancer grows.

Dietary Influences on Growth Rate

Diet plays a big role in colon cancer. Eating a lot of red and processed meats can increase risk. This is because these foods contain harmful compounds.

But, eating foods high in fiber can help. Fruits, vegetables, and whole grains promote a healthy gut. They also help with regular bowel movements.

Key dietary components that influence colon cancer growth include:

  • Fiber intake: High fiber diets are associated with lower colon cancer risk.
  • Red and processed meat consumption: High intake is linked to increased risk.
  • Fruit and vegetable consumption: Rich in antioxidants and fiber, these foods can help mitigate risk.

Lifestyle Factors: Smoking, Alcohol, and Physical Activity

Lifestyle choices like smoking, drinking too much alcohol, and not being active also affect colon cancer risk. Smoking introduces harmful substances into the body. Drinking too much alcohol can damage the colon and affect how it absorbs nutrients.

Regular physical activity is good. It helps keep a healthy weight, improves insulin sensitivity, and promotes regular bowel movements. All these can lower colon cancer risk.

Lifestyle modifications that can impact colon cancer risk include:

  1. Quitting smoking to reduce carcinogen exposure.
  2. Limiting alcohol intake to minimize colon lining damage.
  3. Engaging in regular physical activity to promote overall health.

Inflammatory Conditions and Cancer Acceleration

Inflammatory conditions in the colon, like inflammatory bowel disease (IBD), can speed up colon cancer. Chronic inflammation causes cells to constantly grow and regenerate. This increases the chance of genetic mutations leading to cancer.

Managing inflammatory conditions is key. It may involve:

  • Medical treatment to reduce inflammation.
  • Lifestyle adjustments to manage symptoms.
  • Regular monitoring for early detection of cancerous changes.

Understanding and tackling these environmental factors can help reduce colon cancer risk. It can also slow its growth if it happens.

How Fast Does Colon Cancer Spread Once Developed?

Colon cancer spreads in two main ways: local invasion and distant metastasis. Once it starts, it can move to other parts of the body. Understanding the mechanisms and timeline of colon cancer spread is crucial for making informed treatment decisions.

Local Spread Within the Colon Wall

First, colon cancer grows within the colon wall. It can reach different layers of the colon. How fast it spreads depends on the tumor’s aggressiveness.

Local spread is key in figuring out the cancer stage and treatment. Early cancer is usually easier to treat because it’s only in the colon wall.

Lymphatic System Involvement

As cancer grows, it can reach the lymphatic vessels and spread to nearby lymph nodes. The lymphatic system is important in cancer spread. Lymph node involvement means the cancer is more advanced.

Having cancer in lymph nodes means the disease is more serious. It often needs more intense treatment.

Distant Metastasis Patterns and Timeline

Colon cancer can spread to distant organs like the liver, lungs, and peritoneum. How fast it spreads varies. It depends on the tumor and how well the first treatment worked.

Knowing how and when cancer spreads to distant organs is vital. It helps doctors keep track of the disease and adjust treatments as needed.

Stage

Typical Spread

Common Sites of Metastasis

Early Stage

Local within colon wall

None

Locally Advanced

To regional lymph nodes

Lymph nodes

Metastatic

Distant metastasis

Liver, Lungs, Peritoneum

Is Colon Cancer Slow Growing? Variations by Stage

Colon cancer’s growth rate changes a lot depending on the stage. It’s influenced by genetics, environment, and polyps. These factors play a big role in how fast it grows.

To know if colon cancer grows slowly, we must look at each stage. Early detection and understanding are key for treatment.

Early-Stage Growth Characteristics

In the early stages, colon cancer grows slowly. It’s usually stuck in the colon or rectum lining. The change from benign polyps to cancer can take years, even a decade.

Early cancer often doesn’t show symptoms. Regular screenings are vital for catching it early. If found early, treatment options are better, and survival chances are higher.

Advanced Stage Progression Rates

As cancer gets more advanced, it grows faster. It can spread deeper into the colon and to other parts of the body. This makes treatment harder and survival chances lower.

Many things can affect how fast it grows at this stage. These include genetics, inflammation, and lifestyle choices like diet and smoking.

Doubling Time of Colorectal Tumors

The doubling time of colorectal tumors shows how fast they grow. It’s the time it takes for a tumor to double in size. Research shows this time can vary from a few months to years.

Stage

Typical Doubling Time

Characteristics

Early Stage

Several years

Slow growth, often asymptomatic

Advanced Stage

A few months to a few years

Potential for rapid growth, invasion, and metastasis

Knowing the doubling time and growth patterns is key for doctors. It helps them choose the best treatment. It also helps patients understand their chances.

The Alarming Trend: Colorectal Cancer in Young Adults

Recent studies show a worrying rise in colorectal cancer among those under 50. This is unexpected and concerning. We will look into the reasons behind this trend and what it means for screening.

Statistical Evidence: 2.4% Annual Increase Under Age 50

Data shows a 2.4% yearly rise in colorectal cancer in young people. This is a big concern for doctors. For more on this, check out the on colorectal cancer.

Potential Causes for Earlier Onset

Several factors might be causing more young adults to get colorectal cancer. These include:

  • Dietary changes and lifestyle factors
  • Increasing obesity and lack of exercise
  • Genetic predispositions and family history

Understanding these factors is key to stopping and catching this cancer early.

Implications for Screening Guidelines

The rise in young adults getting colorectal cancer changes screening rules. Right now, most say start screening at 50 for those at average risk. But with this new trend, there’s talk of starting screening earlier or making it more personal based on risk.

In summary, the rise in colorectal cancer in young adults is a big worry. By understanding the reasons and what it means for screening, we can help this younger group.

Can Colon Cancer Develop in 1 Year? Rapid Growth Scenarios

Colon cancer usually takes years to grow. But, some factors can make it grow faster. We’ll look at how colon cancer can grow quickly, even right after a colonoscopy.

Interval Cancers After Colonoscopy

Interval cancers happen between colonoscopies. They can be due to missed spots or new cancers growing fast.

Studies have shown that many colon cancers are interval cancers. Knowing why they happen helps improve colonoscopy and follow-up plans.

Missed Lesions vs. Truly Rapid Development

It’s key to tell apart missed spots from cancers that grow fast. Missed lesions often come from bad prep, not seeing everything, or missing spots.

Truly rapid development means cancers that grow fast between checks. Studying these cancers helps find who needs more frequent tests.

Aggressive Subtypes with Faster Growth

Some colon cancers grow faster than others. This includes cancers with certain genes or linked to inflammation.

Knowing about these aggressive subtypes helps create better treatments. We’ll talk about how this affects care and outcomes for patients.

Lifetime Risk of Developing Colorectal Cancer

Understanding the lifetime risk of colorectal cancer is key. It helps us see how likely it is for individuals and groups to get it. This knowledge guides us in making better screening and prevention plans.

Statistical Risk for Men

Men face a higher risk of colorectal cancer, with a lifetime risk of about 1 in 24. This shows why regular screening is vital for men, as they get older.

Statistical Risk for Women

Women have a slightly lower risk, at 1 in 26. Though this is better than men’s risk, it’s not low enough to ignore. It’s important for women to take preventive steps too.

How Risk Changes Throughout Life

The risk of colorectal cancer changes over time. It’s influenced by genetics, lifestyle, and other health issues. As we age, our risk goes up. This is why age-based screening guidelines are important.

Knowing these risks and how they change is vital. It helps doctors and patients create tailored prevention plans. This ensures screenings are done right for each person.

How Fast Can Colon Cancer Develop After Colonoscopy?

Colonoscopy is seen as the top way to screen for colon cancer. But, when colon cancer happens after a colonoscopy, it raises big questions. These questions are about how well this screening works and what makes colon cancer happen after the test.

Post-Colonoscopy Colorectal Cancers

Post-colonoscopy colorectal cancers (PCCRCs) are cancers found after a colonoscopy. They can happen right after or even years later, even if the test didn’t find anything. These cancers might be missed during the test, not fully removed, or could be new ones.

“The occurrence of PCCRCs highlights the need for continuous quality improvement in colonoscopy practices,” say gastroenterology experts. It’s key to make sure colonoscopies are done well to lower the chance of PCCRCs.

Quality Factors in Colonoscopy

There are many quality factors that make colonoscopy good at stopping colon cancer. These include:

  • Adenoma Detection Rate (ADR): A higher ADR means less chance of PCCRCs.
  • Withdrawal Time: Spending enough time during the test is key to find and remove polyps.
  • Colonoscopy Technique: The skill and method of the endoscopist greatly affects the test’s quality.

By focusing on these quality factors, doctors can make colonoscopy better at finding and stopping colon cancer.

Recommended Surveillance Intervals

The time between colonoscopies is very important for catching colon cancer early. Guidelines suggest different times based on what the last colonoscopy found:

Colonoscopy Findings

Recommended Surveillance Interval

Normal or small hyperplastic polyps

10 years

1-2 small adenomas

5-10 years

3-10 adenomas or high-risk features

3 years

Following these guidelines helps catch colon cancer early and prevent it.

We stress the importance of personalized advice based on risk and colonoscopy results. Understanding what affects colon cancer after a colonoscopy and following recommended times for follow-ups can make colon cancer screening better.

Screening Guidelines and Early Detection Impact

Screening guidelines are key in catching colon cancer early. They help find and remove polyps before cancer starts. This can stop colon cancer from happening.

Current Age Recommendations for Screening

The American Cancer Society says adults should start screening at 45 if they’re at average risk. Screening early can lower colon cancer cases and deaths. If you have a family history or other risks, you might need to start sooner.

  • Adults aged 45-75 should get screened regularly.
  • Those with a family history of colon cancer may need to start screening before age 45.
  • People with certain genetic syndromes may need to get screened more often.

Types of Screening Tests and Their Effectiveness

There are many screening tests, each with its own strengths and weaknesses. Stool-based tests, like the fecal occult blood test (FOBT), look for hidden blood in stool. This could mean colon cancer. Visual exams, like colonoscopy, let doctors see inside the colon and take out polyps.

  1. Colonoscopy: It’s the top choice for colon cancer screening. It lets doctors find and remove polyps.
  2. Fecal Occult Blood Test (FOBT): It finds blood in stool, which could mean colon cancer.
  3. CT Colonography: It uses X-rays and CT scans to show detailed colon images.

How Early Detection Affects Survival Rates

Finding colon cancer early greatly boosts survival chances. Early-stage colon cancer has much better five-year survival rates than late-stage. Screening can find colon cancer up to 10 years before symptoms show. This shows why sticking to screening guidelines is so important.

Knowing and following screening guidelines can lower your risk of colon cancer. It can also improve survival chances if you do get diagnosed. We urge everyone to talk to their doctor about screening options.

How Polyp Removal Affects Cancer Development Timeline

Removing polyps from the colon or rectum is key to stopping colon cancer. This process, called polypectomy, directly affects how fast colon cancer can develop.

Effectiveness of Polypectomy Procedures

Polypectomy is very effective in stopping colon cancer. Research shows it can cut down colorectal cancer cases by up to 90%. This is because it removes polyps that could turn into cancer.

We use the latest methods in polypectomy to remove polyps completely. This includes high-definition tools and precise techniques to avoid missing any polypoid tissue.

Follow-up Recommendations After Polyp Removal

After polypectomy, it’s important to follow up. This ensures any new polyps are caught and removed early. The timing of follow-up colonoscopies depends on the type and size of the removed polyps.

People with high-risk polyps need more frequent checks, usually every 3 years. Those with low-risk findings might only need checks every 5 to 10 years.

Risk Reduction Statistics

Polypectomy greatly lowers the risk of colorectal cancer. Studies show it can cut this risk by 76% to 90%.

Large studies also show that people who have had polypectomy have a much lower risk of colorectal cancer. This highlights the vital role of polyp removal in preventing colon cancer.

Understanding how polypectomy affects colon cancer development is important. Regular screenings and timely polyp removal are essential in reducing colorectal cancer cases.

Advanced Treatment Approaches for Different Growth Stages

Colon cancer treatment has grown a lot, with new methods for each growth stage. We now know more about colon cancer, leading to better treatments. This gives hope to patients at all stages.

Surgical Interventions Based on Tumor Size and Spread

Surgery is key in treating colon cancer. The surgery type depends on the tumor’s size and spread. For small cancers, minimally invasive techniques like laparoscopy are used. This cuts down recovery time and scarring.

For bigger cancers, open surgery is needed. It removes the tumor and some healthy tissue too.

Choosing the right surgery depends on many things. These include the cancer stage, the patient’s health, and the tumor’s details. Multidisciplinary teams decide the best surgery for each patient.

Targeted Therapies for Specific Growth Patterns

Targeted therapies are also important in treating colon cancer. They work best for cancers with certain genetic changes. These therapies aim at cancer cells only, protecting healthy ones.

  • Bevacizumab and other drugs cut off the tumor’s blood supply.
  • EGFR inhibitors like cetuximab and panitumumab target tumors with certain genes.

These therapies can be used alone or with chemotherapy. It depends on the cancer’s stage and type.

Multidisciplinary Approaches Like Those at Liv Hospital

At Liv Hospital, a multidisciplinary approach is used. Specialists from different fields work together. This team includes surgeons, oncologists, and more, creating plans for each patient.

This team ensures all treatment aspects are covered. From surgery and targeted therapies to supportive care, it improves patient outcomes and life quality.

Survival Rates and Long-term Outcomes

It’s key to know the survival rates and long-term results for colon cancer patients. This helps in planning the best treatment. Medical treatments are always getting better, so we need to keep up with the latest stats and what affects patient outcomes.

Five-Year Survival Statistics by Stage

The five-year survival rate for colon cancer changes a lot based on when it’s found. The overall rate is about 65%. But, it can be over 90% for early stages and less than 15% for distant metastasis.

Stage-specific survival rates show why finding cancer early is so important: – Localized colon cancer: 91% five-year survival rate – Regional colon cancer: 71% – Distant colon cancer: 14%

The 1.5 Million Survivors in the US

In the United States, about 1.5 million people are alive after having colon cancer. This number shows how vital it is to treat the disease and support patients after treatment.

Survivors face many challenges, like managing long-term side effects and dealing with the emotional impact of their diagnosis. They also have to navigate follow-up care.

Quality of Life After Treatment

The quality of life after colon cancer treatment is very important. It depends on the stage at diagnosis, the treatments used, and any other health issues.

Survivors deal with physical symptoms like bowel problems and emotional and social challenges. But, with the right support and care, many can live happy lives.

Effective survivorship care means working together. Doctors, nurses, and other healthcare professionals help meet the complex needs of survivors.

Conclusion: Understanding and Managing Colon Cancer Risk

Colon cancer is a big health issue that needs a full plan for prevention, early detection, and treatment. We’ve looked into how colon cancer grows and spreads. We’ve also talked about important risk factors and the need for screening.

To manage colon cancer risk, it’s key to know about genetic and environmental factors. A healthy lifestyle, like eating right and staying active, can help lower risk. Screening tests, like colonoscopies, are vital for catching cancer early.

Knowing your family history and hereditary syndromes is also important. If you’re at higher risk, you might need more screenings. New treatments, like surgery and targeted therapies, can help patients with colon cancer live better.

By understanding and managing colon cancer risk, people can lower their chances of getting it. We suggest talking to doctors to find the best plan for you.

FAQ

How long does colon cancer take to develop?

Colon cancer usually takes 10-15 years to develop. This is through the adenoma-carcinoma sequence.

How fast does colon cancer spread?

Colon cancer can spread quickly or slowly. It can grow within the colon, through lymph nodes, or to distant places like the liver and lungs.

Is colon cancer slow growing?

No, colon cancer isn’t always slow. Its growth rate depends on the stage and individual factors.

How long does it take for a polyp to grow?

Polyp growth varies, but most adenomatous polyps take years to develop.

Can colon cancer develop in 1 year?

Yes, though rare, colon cancer can grow fast. This is more common in aggressive subtypes or after colonoscopy.

How fast can colon cancer develop after colonoscopy?

Colon cancer can appear quickly after colonoscopy. This shows the need for quality colonoscopies and regular check-ups.

What is the lifetime risk of developing colorectal cancer?

Men have a 1 in 24 chance, and women a 1 in 26 chance. The risk changes as you age.

How does polyp removal affect cancer development timeline?

Removing polyps can greatly lower cancer risk. It’s a key part of preventing colon cancer.

What are the current screening guidelines for colon cancer?

Guidelines suggest starting screenings at 45 for those at average risk. Tests include colonoscopy, FIT, and stool DNA tests.

How does early detection affect survival rates for colon cancer?

Early detection boosts survival chances. Survival rates vary based on when the cancer is found.

What are the advanced treatment approaches for colon cancer?

Treatments include surgery, targeted therapies, and team care. These depend on the cancer’s stage and type.

How fast do colon polyps grow?

Polyp growth rates differ. Adenomatous polyps usually grow slowly over years.

How long does it take for bowel cancer to develop?

Bowel cancer, or colorectal cancer, often takes years to develop. It usually follows the adenoma-carcinoma sequence.

References

Colorectal Cancer Alliance. (n.d.). Colorectal cancer basics: Facts and statistics. Retrieved from https://colorectalcancer.org/basics/facts-and-statistics

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