“…[2][3][4] In a recent review of 77 children with CRC who presented to St Jude Children's Research Hospital, patients had experienced symptoms for a median of 3 months and most were anemic. 1,26 However, while vigilance for pediatric CRC remains important, adult-type screening exams (eg, colonoscopy, routine fecal occult blood testing, and sigmoidoscopy) are not likely to be cost-effective and will generally identify many false positives in the absence of known risk factors. As in most other series (summarized in Saab and Furman 4 ), 66 of 77 patients (86%) at St Jude presented with advanced-stage disease, 48 (62%) had mucinous histology, 33 (43%) had >10% signet-ring cells, and the 10-year event-free survival estimate overall was only 17.7% ± 5.1%.…”