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Contents Chapter 1: General introduction Chapter 2: Molecular screening to colorectal cancer 9 29 Chapter 3: DNA methylation of phosphatase and actin regulator 3 detects colorectal cancer in stool and complements FIT 61 Chapter 4: Analytical sensitivity and stability of DNA methylation testing in stool samples for colorectal cancer detection 89 Chapter 5: Stool proteomics reveals novel candidate biomarkers for colorectal cancer screening 103 Chapter 6: Promoter CpG island hypermethylation of Decoy Receptor 1 (DCR1) is associated with poor response to irinotecan in metastatic colorectal cancer 137 Chapter 7: Promoter CpG island hypermethylation- and H3K9me3 and H3K27me3-mediated epigenetic silencing targets the deleted in colon cancer (DCC) gene in colorectal carcinogenesis without affecting neighboring genes on chromosomal region 18q21 161 Chapter 8: DNA methylation and gene expression at chromosomal loci with copy number gain in colorectal cancer 181 Chapter 9: Summary and general discussion 213 Chapter 10: Nederlandse samenvatting 225 Curriculum Vitae 233 237 Dankwoord