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Clinician's Information Source:
Colorectal Cancer Risk and Screening
If all adults 50 and older were screened for colon cancer, we could cut the death rate from this disease in half, saving approximately 25,000 lives per year.

Review recommendations for colorectal cancer screening based on risk. Also browse some of the latest evidence on colorectal cancer screening.

 Colorectal Cancer Risk Factors
Review risk factors and others related to family history, diet, obesity, and more.
 Early Detection Guidelines
Find the best screening plan for each patient at increased or high risk in our easy-to-read table.
 Screening Science
Browse recent publications about: the recommended use of FOBT; meat consumption as a risk factor, and more.

Guidelines for Colorectal Cancer Screening for Individuals at Average Risk

Beginning at age 50, both men and women at average risk for developing colorectal cancer should use one of the screening tests below:

Tests That Find Polyps and Cancer

  • Flexible sigmoidoscopy every 5 years*
  • Colonoscopy every 10 years
  • Double contrast barium enema every 5 years*
  • CT colonography (virtual colonoscopy) every 5 years*

Tests That Mainly Find Cancer

  • Guaiac-based fecal occult blood test (gFOBT) every year*,**
  • Fecal immunochemical test (FIT) every year*,**
  • Stool DNA test (sDNA), interval uncertain*

*Colonoscopy should be done if test results are positive.
**For gFOBT or FIT used as a screening test, the take-home multiple sample method should be used. A gFOBT or FIT done during a digital rectal exam in the doctor's office is not adequate for screening.

Read the full guidelines in CA: A Cancer Journal for Clinicians



 
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