Colorectal cancer remains one of the most dangerous cancer in the world

Data from Global Cancer Statistics 2020 shows that the combination of colon and rectum cancer holds for approximately 10% (1,880,725) and 9% (915,880) of all cancer incidence and death in the world respectively [1].
In Indonesia, colorectal cancer stands at rank 4th and 5th of the most incidence and deaths respectively in Indonesia. It holds approximately 8.4% (33,427) and 7.6% (17,786) of all cancer incidence and death in Indonesia respectively [2].
Whereas, data from the Jogja Cancer Registry indicate that CRC ranks as the second among the most frequently encountered cancer cases in Yogyakarta with 2,532 cases from 2008-2019 [3].
A majority of CRC patients are diagnosed at advanced stages due to the difficulties in diagnosis even though early diagnosis plays a crucial role in determining the success of therapy [3].
However, current early screening methods have their own problems, especially at premalignant stages of CRC and its accessibility in rural areas [4].

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References
[1] Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians. 2021 May;71(3):209-49.
[2] Globocan 2020. Indonesia. World Health Organization; 2021 [cited 2023 September 27]. Available from: https://gco.iarc.fr/today/data/factsheets/populations/360-indonesia-fact-sheets.pdf
[3] Jogja Cancer Registry. RKBR Maret 2022 – canreg.fk.ugm.ac.id [Internet]. Jogja Cancer Registry. 2022 [cited 2023 May 5]. Available from: https://canreg.fk.ugm.ac.id/laporan-data/registrasi-kanker-berbasis-rumah-sakit-dr-sardjito-fkkmk-ugm/rkbr-maret-2022/.
[4] Burch JA, Soares-Weiser K, St John DJ, Duffy S, Smith S, Kleijnen J, Westwood M. Diagnostic accuracy of faecal occult blood tests used in screening for colorectal cancer: a systematic review. Journal of medical screening. 2007 Sep 1;14(3):132-7.
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