A unique archive of bowel cancer tumour samples dating back to the 1950s could help explain why bowel cancer is rising sharply in people under 50 as reportd on the BBC Website. Scientists believe the findings may also shed light on why delayed bowel cancer diagnosis remains a serious problem for younger patients whose symptoms are often overlooked.
Researchers from the Institute of Cancer Research and St Mark’s Hospital have launched a pioneering study comparing historic bowel cancer specimens with modern cases. Their aim is to understand how modern life may be driving more aggressive disease in younger adults.
Why bowel cancer in the under 50s is rising
Bowel cancer is the fourth most common cancer in the UK and the second leading cause of cancer deaths. While national screening programmes have reduced cases in older age groups, diagnoses among younger people continue to rise and are expected to double between 2010 and 2030.
This trend is deeply concerning. Studies show that bowel cancer in younger adults is often diagnosed at a later stage. It also tends to behave more aggressively. One key reason is that symptoms in younger patients are frequently attributed to less serious conditions such as IBS or haemorrhoids.
That delay can have life changing consequences.

How historic tumour samples may unlock answers
St Mark’s Hospital holds one of the oldest bowel cancer tissue archives in Britain. Tens of thousands of samples have been stored for more than 70 years. Early testing confirms that these specimens remain suitable for modern molecular analysis.
By comparing cancers from the 1950s with those diagnosed today, researchers hope to identify what has changed. The focus is on the exposome, a term used to describe the combined impact of diet, lifestyle and environmental exposures over a lifetime.
Scientists are particularly interested in:
- Changes in diet and food processing
- Alterations in the gut microbiome
- Exposure to environmental pollutants such as microplastics
- Lifestyle factors including obesity and physical inactivity
Each of these factors can leave distinct molecular fingerprints on DNA. Advanced genome sequencing will allow researchers to track how these patterns differ between past and present day cancers.
Delayed bowel cancer diagnosis and modern risk
For solicitors handling clinical negligence claims, this research reinforces an important point. Younger patients are not immune to bowel cancer. When symptoms are missed or dismissed, opportunities for early diagnosis are lost.
Common red flag symptoms include:
- Persistent change in bowel habit
- Rectal bleeding
- Unexplained weight loss
- Ongoing abdominal pain or fatigue
Failure to investigate these symptoms promptly can result in delayed bowel cancer diagnosis, leading to more advanced disease and poorer outcomes. If you are concerned that warning signs were not acted upon, further information is available on delayed bowel cancer diagnosis claims.
The human impact of late diagnosis
Public awareness of bowel cancer in younger people was transformed by Dame Deborah James, who spoke openly about her illness and urged others to seek help early. Despite this, many young patients still face disbelief when they first raise concerns.Other tragic cases is where a person was diagnosed with stage three rectal cancer at just 23. Despite experiencing classic symptoms for over a year, that person was initially told she had IBS and was only diagnosed following an emergency admission. This experience highlights a recurring theme in delayed bowel cancer diagnosis cases. Younger age can wrongly lower clinical suspicion, with devastating consequences.
What this research could change
The new study, known as the Boomers Project, could lead to improved prevention strategies and earlier identification of risk factors. It may also influence how clinicians assess bowel symptoms in younger adults.
From a legal perspective, the message is clear. Rising incidence in under 50s means healthcare professionals must remain alert to bowel cancer at any age. Assumptions based on youth alone are no longer safe.
As research continues to uncover why bowel cancer is becoming more common in younger adults, timely investigation of symptoms remains one of the most effective tools for saving lives.
Early diagnosis matters. When it does not happen, the consequences can be profound.
Bowel Cancer-Further Reading on Claims for Bowel Cancer
• Bowel Cancer Solicitors: Expert Support for Cancer Misdiagnosis and Delayed Treatment Claims – explains how delayed diagnosis and misdiagnosis of bowel cancer can lead to clinical negligence claims. Hutcheon Law
• Bowel Cancer? ‘Tell Your GP’ – overview of bowel cancer screening and why early detection matters.
• Bowel Cancer Screening Kits for Middle Aged – explains how screening kits work as tools for early detection.
• Bowel Cancer Diagnosis Under 50s Is Rising – discusses rising incidence of bowel cancer among younger adults.
General cancer diagnosis and clinical negligence posts that include bowel cancer context
• What Are the 5 Most Common Mis-diagnosis of Cancer? – broader look at cancer misdiagnosis including bowel cancer relevance.
• Medical Malpractice: How Small Mistakes Can Lead to Devastating Cancer Outcomes – explains how delay and misdiagnosis affect cancer outcomes generally.
• Cancer Death Rates 60% Higher in the Poorest Areas of the UK – discusses geographical disparities in cancer diagnosis and outcomes, including bowel cancer risk factors.
• Cancer Survival Gains in the UK Have Slowed (Experts Issue Warning) – analysis of UK cancer survival trends and the importance of early detection for cancers such as bowel cancer.
• Missed Cancer Diagnosis Claims UK – guide to missed cancer diagnosis claims, relevant to bowel cancer misdiagnosis or delay.
• Delay in Cancer Diagnosis Often Detected at Later Stages – explains why delayed diagnosis matters and the impact on survival.




