“…This study among other Eastern studies has shown that Early-onset CRC (less than 50 years of age at diagnosis) covers almost one fourth of all CRC cases in the country. This is different from Western countries where the rates of early-onset CRC include less than 10% of all CRC cases (Griffin et al, 1991;Mitry et al, 2001;Yuen et al, 2002;Claes et al, 2005;Yazdizadeh et al, 2005;Ansari et al, 2006;Dolatkhah et al, 2015). Given the changing of life style in developing societies like Iran toward westernization, in particular within youth, incident rate of early-onset CRC has been increased in these populations during the recent decades (Fatemi et al, 2010;Safari et al, 2013;Dolatkhah et al, 2015).…”