ArticleProceedings (Baylor University. Medical Center)2026
Young-onset signet ring cell colorectal adenocarcinoma: demographics, clinicopathological profile, and survival analysis.
Article in Proceedings (Baylor University. Medical Center), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSignet ring cell carcinoma (SRCC), a rare subtype of colorectal adenocarcinoma, is associated with high rates of metastasis at presentation and poor prognosis. This study highlights demographic patterns, survival outcomes, and prognostic factors in young-onset SRCC.
methodsA retrospective analysis of SRCC patients <50 years was conducted using the Surveillance, Epidemiology, and End Results database (2000-2020).
resultsThere was a high prevalence of SRCC in young patients, with a median age at diagnosis of 41.0 years. A significant proportion of cases were in individuals ages 36 to 50. The rectum was the most common primary site (29.1%), and the liver was the most frequent site of metastasis at presentation (8.9% of patients with known metastases). Surgery combined with adjuvant chemotherapy yielded the highest 5-year survival (24.4%; 95% confidence interval [CI], 22.1-26.7), compared with chemotherapy alone (2.6%; 95% CI, 1.2-4.0). Multivariate analysis identified advanced stage, nodal positivity, distant metastases (hazard ratio 7.02; 95% CI, 4.66-10.56), and larger tumor size as significant adverse prognostic factors (all
conclusionsColorectal SRCC is an aggressive malignancy that disproportionately affects patients <50 years and frequently presents at advanced stages, underscoring the importance of earlier screening.
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