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Appendix Cancer Rates Quadruple in Millennials

Researchers say the rise in appendix cancer among young adults likely reflects growing obesity rates alongside environmental shifts

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Overview

  • A study published June 9 in the Annals of Internal Medicine analyzes 4,858 cases from 1975 to 2019 and finds appendix cancer rates quadrupled among millennials compared to those born in 1945.
  • Nearly one in three appendix cancer diagnoses now occur in adults under 50, reversing the disease’s historic pattern of affecting older patients.
  • More than 95% of appendix tumors are only identified after appendectomies for suspected appendicitis because they evade detection on standard scans and colonoscopies.
  • Researchers attribute the surge to obesity, metabolic syndrome and environmental exposures and call for expanded molecular and epidemiological studies.
  • Clinicians are urged to monitor persistent symptoms in younger patients—such as bloating, changes in bowel habits and loss of appetite—to promote earlier diagnosis.