The Purpose of this study is to promote awareness concerning increased incidence of colorectal carcinoma in younger population and its clinical as well as pathological features compared to older patients. This cross sectional study was conducted from January 2017 to October 2017 in patients with diagnosis of colorectal carcinoma admitted through emergency or outpatient department to surgical ward of PIMS hospital of Islamabad. Data concerning age, gender, presentation, site of tumor, surgery performed and Dukes staging was used for analysis.

Total numbers of patients screened were 250. Patients with colorectal carcinoma were 27. Male patients were 17(63%) and females were 10 (37%). Patients between the ages of 10-20 were 4(15%) out of these 2 were declared unfit for surgery because of widespread tumor within the abdomen as well as distant metastasis. There were 9 (33%) patients between the ages of 21 to 30 while among these 4 were inoperable because of widespread and undifferentiated carcinoma. Patients between the ages of 31 and 40 were 5 (19%), among these 2 were inoperable. The next category of patients was between the ages of 41 to 50, they were 4 (15%). There were 3 (11%) patients between the ages of 51 and 60, and 2 (7%) cases were between the ages of 61 to 70. Total 9 (33.3%) young patients were inoperable and they were of age 50 and below 50. Colorectal Carcinoma is more aggressive among young patients [1, 2]. Total Stage D inoperable patients were 11(40.7%) and 18 (82%). Patients between the ages of 10 to 50 had left sided disease.