Early-Onset Colorectal Cancer in Egypt: Pathological Characters, Patterns of Care, and Survival Compared to Average-Age Onset Colorectal Cancer: A Retrospective Multicenter Study.

PURPOSE: Early-onset colorectal cancer (EOCRC) is a rising health problem. The incidence of EOCRC has increased over the past 2 decades all over the world. Reports from Egypt since the 1990s have reported a higher incidence among young populations with no identifiable risk factors. The aim of this study was to assess EOCRC in Egypt regarding incidence, characteristics, treatment pattern, and survival compared with average age onset and elderly patients. MATERIALS AND METHODS: This was a retrospective, record-based, cohort study combining data from four different cancer centers in Egypt. We grouped patients according to age into three categories: the EOCRC group for patients age ≤45 years and the average age onset and elderly cancer group (for patients age ≥65 years). RESULTS: The study included 1,310 patients with histopathologically proven colorectal cancer, representing four different geographical areas in Egypt. Patients with EOCRC represented 42.4% of the study population. Female patients were 50.6% among the EOCRC group and 52.5% among the average age group. Rectal tumors were significantly higher in EOCRC (54.7% v 40.6%; P < .001). There was no significant difference between both groups regarding the tumor stage at presentation, obstruction, or presence of metastases at presentation. Patients with EOCRC had a significantly higher rate of peritoneum/adnexa metastases than the average age ones (12.3% in EOCRC v 6.9% in the average age group; P < .001). No statistically significant differences between EOCRC and average age groups in both disease-free survival and overall survival were reported. CONCLUSION: A comprehensive framework for the study of EOCRC is required in Egypt as well as a genomic analysis to identify possible underlying genetic alterations responsible for the high incidence of EOCRC.

55 xenobiotic organic compounds in Tripoli landfill-Lebanon leachate and their fluxes to the Abou Ali River and Mediterranean Sea.

Pollution generated from landfill solid wastes constitute one of the major threat to the environment. The landfill leachate contains various toxic pollutants, making it the most dangerous issue of the landfills. Monitoring the xenobiotic organic concentrations in landfill leachate is an important step to evaluate the environmental impacts. This work aims to characterize the seasonal variation of 55 xenobiotic organic compounds including polycyclic aromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs), phthalic acid esters (PAEs) and bisphenols (BPs) in the leachate from municipal solid waste landfill of Tripoli, Lebanon. And also, the quantity of the pollutant's flux to the Abou Ali River and the Mediterranean Sea nearby has been estimated. The organic pollutants were extracted by using the solid-phase extraction and quantified by using GC-MS/MS. The results showed high level of PAEs, BPs, PCBs, and PAHs in the leachate samples. The fluxes of pollutants to the Abou Ali River and Mediterranean Sea have been detected at 0.23 kg, 0.01 kg, 116.85 kg, 15.93 kg, and 7.58 kg for Σ16PAHs, Σ28PCBs, Σ6PAEs, Σ4BPs, and 4-NP respectively.