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. Author manuscript; available in PMC: 2010 Jun 17.
Published in final edited form as: N Engl J Med. 2009 Dec 17;361(25):2449–2460. doi: 10.1056/NEJMra0804588

Figure 1. Multifactorial Colorectal Carcinogenesis.

Figure 1

The molecular events that drive the initiation, promotion, and progression of colorectal cancer occur on many interrelated levels. This dynamic process involves interactions among environmental influences, germ-line factors dictating individual cancer susceptibility, and accumulated somatic changes in the colorectal epithelium.