Friday, 13 June 2025

APPENDICEAL CA

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Here’s what we now know about this worrying trend:


🚨 What’s Going On?

  • Type of cancer: Appendiceal cancer—also known as appendix cancer—remains extremely rare, affecting just 1–2 people per million each year (health.com).

  • Striking generational rise:

    • Incidence has tripled for individuals born around 1980–1985 (Gen X).

    • It has quadrupled for the older millennial cohort (born ~1985–1990) compared to those born in the 1940s (health.com, time.com).

  • Data overview:

    • Researchers analyzed 4,858 cases from 1975–2019 (SEER database) (health.com).

    • Consistent increase across all histological subtypes of appendiceal adenocarcinoma (eurekalert.org).


🔍 Why Is This Happening?

  • The cause is not yet known, but likely a combination:

    • Environmental exposures (e.g., toxins, antibiotics)

    • Lifestyle factors (e.g., obesity, diet, sedentary habits)

    • Biological changes (e.g., microbiome shifts, metabolic syndrome) (time.com, udshealth.com).

  • Not due to increased surgeries—appendectomy rates have remained stable—so detection bias is unlikely .


📋 Symptoms & Diagnosis

  • Common early signs (though often subtle) include:

    • Abdominal pain or bloating

    • Changes in bowel habits

    • Nausea, vomiting, increased waist size (ascites) (health.com, time.com).

  • Often discovered incidentally during surgery for appendicitis or via imaging—many cases are already late stage at diagnosis (health.com).

  • No routine screening exists; experts urge vigilance and prompt follow-up scans if appendicitis occurred without removal (health.com).


🧬 Outcomes & Recommendations

  • Overall risk remains low, but the significant increase in younger cohorts is concerning (health.com).

  • Early detection improves prognosis dramatically; five-year survival varies widely (10–63%) depending on the stage (foxnews.com).

  • Experts suggest:

    • Increased awareness among patients and clinicians

    • Prompt investigation of persistent symptoms

    • Follow-up imaging for atypical appendicitis presentations (nypost.com, udshealth.com).


✅ Key Takeaway

Although still rare, appendiceal cancer is showing a dramatic rise among Gen X and older millennials, especially those born in the mid‑1980s. The reason remains unclear, but the data underline the importance of symptom awareness and early detection in younger adults.


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