Evidence map›Paper›PMID 42690310›Full record

ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2026

Clinicopathologic features and prognostic factors in early- versus late-onset colorectal cancer: a stage-stratified retrospective surgical cohort from the Mekong Delta, Vietnam.

Kiet Nguyen LE Gia, Nang Van Pham, Tuan Van Nguyen, Doi Van Mai, Hien Van Nguyen, Huan Hoang Lam, Tuan Thanh Tran, Phu Thien Diep Duong, Trinh Vo Thi Anh

Abstract readComparative Study
In one paragraph

Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 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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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Kiet Nguyen LE GiaCan Tho University of Medicine and Pharmacy, Department of General Surgery - Can Tho City, Vietnam.ORCID http://orcid.org/0009-0001-9531-4496
Nang Van PhamVinmec Can Tho Hospital - Can Tho City, Vietnam.ORCID http://orcid.org/0009-0001-8256-8737
Tuan Van NguyenCan Tho University of Medicine and Pharmacy, Department of General Surgery - Can Tho City, Vietnam.ORCID http://orcid.org/0009-0000-2060-5339
Doi Van MaiCan Tho University of Medicine and Pharmacy, Department of General Surgery - Can Tho City, Vietnam.ORCID http://orcid.org/0009-0006-6450-8331
Hien Van NguyenCan Tho University of Medicine and Pharmacy, Department of General Surgery - Can Tho City, Vietnam.ORCID http://orcid.org/0009-0003-6110-2318
Huan Hoang LamCan Tho University of Medicine and Pharmacy, Department of General Surgery - Can Tho City, Vietnam.ORCID http://orcid.org/0009-0007-8249-9296
Tuan Thanh TranCan Tho University of Medicine and Pharmacy, Department of General Surgery - Can Tho City, Vietnam.ORCID http://orcid.org/0000-0002-6449-3129
Phu Thien Diep DuongCan Tho University of Medicine and Pharmacy, Department of General Surgery - Can Tho City, Vietnam.ORCID http://orcid.org/0000-0003-0939-7908
Trinh Vo Thi AnhCan Tho University of Medicine and Pharmacy, Faculty of Medicine - Can Tho City, Vietnam.ORCID http://orcid.org/0009-0000-0692-291X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly-onset colorectal cancer (EOCRC), defined as diagnosis before 50 years of age, has increased in incidence globally, but its clinicopathologic profile and prognostic significance remain incompletely characterized, particularly in Southeast Asian populations with limited access to organized screening.

aimsTo compare clinicopathologic characteristics and survival outcomes between EOCRC and late-onset colorectal cancer (LOCRC) following curative resection, and to identify independent prognostic determinants in a regional Vietnamese surgical cohort.

methodsThis retrospective cohort study included 486 patients with stage I-III colorectal adenocarcinoma who underwent curative laparoscopic resection at a tertiary center in the Mekong Delta between 2016 and 2022.

resultsEOCRC (184 patients, 37.9%) was associated with higher rates of poor differentiation, mucinous or signet-ring cell histology, lymphovascular invasion, and perineural invasion compared with LOCRC (all p<0.05). Overall survival (OS), cancer-specific survival (CSS), and recurrence-free survival (RFS) did not differ significantly between groups. In the overall cohort (log-rank p=0.72, 0.15, and 0.96, respectively). On multivariable analysis, postoperative complications were the dominant independent prognostic factor for OS (hazard ratio [HZ] 8.28; 95% confidence interval [CI] 4.87-14.09) and RFS (HZ 4.81; 95%CI 3.03-7.65), whereas age at onset was not independently associated with either outcome. Stage-stratified curves suggested a less favorable survival pattern among patients with stage III EOCRC, particularly for CSS and RFS.

conclusionsDespite a more aggressive histopathologic profile, EOCRC showed comparable survival to LOCRC in the overall cohort. Stage-stratified curves suggested a less favorable survival pattern among patients with stage III EOCRC, while postoperative complications represented the dominant modifiable determinant of outcome.

Indexed as

AdenocarcinomaColorectal NeoplasmsAgedAge of OnsetCohort StudiesColorectal Surgical ProceduresFemaleHumansMaleMiddle AgedNeoplasm StagingPrognosisRetrospective StudiesVietnam

Identifiers

PMID42690310
PMCPMC13543687

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