Is right-sided colon cancer different to left-sided colorectal cancer? - a systematic review

Eur J Surg Oncol. 2015 Mar;41(3):300-8. doi: 10.1016/j.ejso.2014.11.001. Epub 2014 Nov 13.


Colorectal cancer (CRC) exhibits differences in incidence, pathogenesis, molecular pathways and outcome depending on the location of the tumor. This review focuses on the latest developments in epidemiological and scientific studies, which have enhanced our understanding on the underlying genetic and immunological differences between the proximal (right-sided) colon and the distal (left-sided) colorectum. The different ways in which environmental risk factors influence the pathogenesis of CRC depending on its location and the variations in surgical and oncological outcomes are also discussed in this review. In the current era of personalized medicine, we aim to reiterate the importance of tumor location in management of CRC and the implication on future clinical and scientific research.

Keywords: Classification; Colorectal cancer; Environmental exposure; Pathology; Subsite.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Adenocarcinoma, Mucinous / metabolism
  • Adenocarcinoma, Mucinous / mortality
  • Adenocarcinoma, Mucinous / pathology*
  • Carcinoma / metabolism
  • Carcinoma / mortality
  • Carcinoma / pathology
  • Colon / metabolism
  • Colon / pathology*
  • Colorectal Neoplasms / metabolism
  • Colorectal Neoplasms / mortality
  • Colorectal Neoplasms / pathology*
  • Humans
  • Rectum / metabolism
  • Rectum / pathology*