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Why are some cancers becoming more common in younger adults?

What early-onset cancer trends mean, why relative increases need context and why unexplained symptoms deserve attention at any age.

Written and clinically reviewed by Dr AlHilali Consultant Clinical Oncologist

Rates of some cancers, including bowel cancer, have increased in younger adults. That is an important research question. It does not mean that cancer is now common in every younger age group, or that every cancer follows the same pattern.

Cancer remains much more common in older adults. Both facts matter when interpreting a headline about an increase in younger people.

In this article

What does early-onset mean?

Research often uses “early-onset” for a cancer diagnosed before age 50, although definitions differ. It describes age at diagnosis, not how far a cancer has spread or how early it was found.

An increase in the number of diagnoses is also not automatically an increase in the rate. Researchers consider the size and age structure of the population, cancer type and period studied.

Students walking across a tree-lined university courtyard.
Everyday campus life at North Carolina State University. A contextual photograph of younger adults, not people identified as having cancer or a depiction of cancer risk. Full frame retained; resized and compressed. Photograph: Dennis Ludlow (Sharkshock). Source · CC BY-SA 4.0

A large percentage increase can start from a small risk

When a condition is uncommon, a relatively small change in the number affected can produce a substantial percentage increase. That does not make the trend unimportant. It means that the starting frequency should be shown alongside the change.

A headline about one cancer, country or age group should not be treated as a statement about every younger adult.

Do we know why this is happening?

There is unlikely to be one explanation for every cancer. Research is examining changing exposures across life, metabolic health, diet and other environmental or biological factors. The contribution of these factors is not settled simply because they are plausible.

It would be misleading to blame an individual person's diagnosis on one behaviour. Healthy people can develop cancer, and most people with a particular risk factor will not develop a particular cancer. The broader explanation is covered in “I did everything right. Why did I get cancer?”.

What should a younger person do with this information?

Being young makes many cancers less likely; it does not make them impossible. New, persistent or unexplained changes should be discussed with a GP rather than dismissed solely because of age. Most symptoms have causes other than cancer, but assessment may still be needed.

Explain what has changed, how long it has been happening and whether close relatives have had related cancers. If symptoms continue or change after an initial assessment, seek further advice.

This is general information, not a screening recommendation or a way to diagnose symptoms. Your GP can assess your circumstances and arrange appropriate investigation.

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