American Cancer Society Screening Guidelines by Age

If you are 21 to 29, here's what you need to know about screening tests for certain cancers:

Colon cancer testing

Find out if you are at higher than average risk for colon cancer because of family history, genetic disorders, or other factors. If not, then testing is not recommended at this time. If you are at increased risk, talk to a health care provider about when to start testing and what tests are right for you.

Breast cancer testing

All women should know how their breasts normally look and feel and report any changes to a health care provider right away. Find out if you are at higher than average risk for breast cancer. If not, then testing is not recommended at this time. If you are, talk to a health care provider about when you need to start getting mammograms or other screening tests.

Cervical cancer testing

No test is recommended before age 25.

Starting at age 25 and through age 65, all people with a cervix should have a primary HPV test* every 5 years. If a primary HPV test is not available in your area, then acceptable options include a co-test (an HPV test done at the same time as a Pap test) every 5 years or a Pap test alone every 3 years. (*A primary HPV test is an FDA approved test that is done by itself for screening.) The most important thing to remember is to get screened regularly, no matter which test you get.

Follow testing recommendations even if you've been vaccinated against HPV.

If your cervix was removed for a reason other than cervical cancer or pre-cancer, further cervical screening tests.

If you are 30 to 39, these screening tests for certain cancers might be recommended for you:

Colon cancer testing

Find out if you are at higher than average risk for colon cancer because of family history, genetic disorders, or other factors. If not, then testing is not recommended at this time. If you are at increased risk, talk to a health care provider about when you need to start testing and what tests are right for you.

Breast cancer testing

All women should know how their breasts normally look and feel and report any changes to a health care provider right away. Find out if you are at higher than average risk for breast cancer. If you are at average risk, then testing is not recommended at this time. If you are at high risk, talk to a health care provider about when you need to start getting mammograms or other screening tests.

Cervical cancer testing

People with a cervix should get a primary HPV test every 5 years. A primary HPV test is an FDA approved test that is done by itself for screening. If a primary HPV test is not available in your area, then acceptable options include a co-test (an HPV test done at the same time as a Pap test) every 5 years or a Pap test alone every 3 years. The most important thing to remember is to get screened regularly, no matter which test you get.

Follow testing recommendations even if you've been vaccinated against HPV.

If your cervix was removed for a reason other than cervical cancer or pre-cancer, you don’t need further cervical screening tests.

People with a history of a serious cervical pre-cancer should continue testing for 25 years after that diagnosis.

If you are 40 to 49, these screening tests for certain cancers are recommended:

Colon cancer testing

All people at average risk should start testing at age 45. There are several testing options. Talk with a health care provider about which tests are best for you and how often testing should be done.

If you're younger than 45, find out if you are at higher than average risk for colon cancer because of family history, genetic disorders, or other factors. If not, then testing is not recommended at this time. If you are at increased risk, talk to a health care provider about when you need to start testing and what tests are right for you.

Breast cancer testing

Women ages 40 to 44 should have the choice to start annual breast cancer screening with mammograms if they wish to do so. The pros and cons of screening should be considered when making this decision.

Starting at age 45, women should get mammograms every year.

It’s important to know if you are at higher than average risk for breast cancer. If you are, talk to a health care provider about when you need to start getting mammograms and whether you need to get other tests along with your mammograms.

It's also important to know how your breasts normally look and feel and to report any changes to a health care provider right away.

Cervical cancer testing

People with a cervix should get a primary HPV test every 5 years. A primary HPV test is an FDA approved test that is done by itself for screening. If a primary HPV test is not available in your area, then acceptable options include a co-test (an HPV test done at the same time as a Pap test) every 5 years or a Pap test alone every 3 years. The most important thing to remember is to get screened regularly, no matter which test you get.

Follow testing recommendations even if you’ve been vaccinated against HPV.

If your cervix was removed for a reason other than cervical cancer or pre-cancer, you don’t need further cervical screening tests.

People with a history of a serious cervical pre-cancer should continue testing for 25 years after that diagnosis.

Prostate cancer testing

Starting at age 45, men at higher than average risk of prostate cancer should talk with a doctor about the uncertainties, risks, and potential benefits of testing so they can decide if they want to be tested. This includes African American men and men with close family members (father, brother, son) who had prostate cancer before age 65.

Men with more than one close relative who had prostate cancer before age 65 are at even higher risk and should talk with a doctor about testing starting at age 40.

If you are 50 to 64, these screening tests for certain cancers are recommended:

Colon cancer testing

All people at average risk should start testing at age 45, so talk to your health care provider if you haven't started yet. There are several testing options. Talk with a health care provider about which tests are best for you and how often testing should be done.

Lung cancer testing

People ages 50 to 80 should get yearly lung cancer screening with a low-dose CT (LDCT) scan if they smoke or used to smoke, and if they have at least a 20 pack-year history of smoking. (A pack-year is equal to smoking 1 pack or about 20 cigarettes per day for a year. For example, a person could have a 20 pack-year history by smoking 1 pack a day for 20 years, or by smoking 2 packs a day for 10 years.)

Before deciding to be screened, people should discuss with their healthcare provider the purpose of screening, how it is done, and the benefits, limits, and possible harms of screening. People who still smoke should be counseled about quitting and offered resources to help them quit.

Breast cancer testing

Women ages 50 to 54 should get mammograms every year. Be sure you understand the pros and cons of breast cancer screening.

Starting at age 55, you should switch to getting mammograms every 2 years, or you can continue to get one every year.

It’s important to know if you are at higher than average risk for breast cancer. If you are, talk to a health care provider about whether you need to get other tests done along with your mammograms.

It's also important to know how your breasts normally look and feel and to report any changes to a health care provider right away.

Cervical cancer testing

People with a cervix should get a primary HPV test* every 5 years. A primary HPV test is an FDA approved test that is done by itself for screening. If a primary HPV test is not available in your area, then acceptable options include a co-test (an HPV test done at the same time as a Pap test) every 5 years or a Pap test alone every 3 years. The most important thing to remember is to get screened regularly, no matter which test you get.

If your cervix was removed for a reason other than cervical cancer or pre-cancer, you don’t need further cervical screening tests.

People with a history of a serious cervical pre-cancer should continue testing for 25 years after that diagnosis.

Prostate cancer testing

Starting at age 50, all men at average risk should talk with a health care provider about the uncertainties, risks, and potential benefits of testing so they can decide if they want to be tested.

If you are 65 or older, these screening tests for certain cancers are covered by Medicare and are recommended:

Colon cancer testing

Testing is recommended up through age 75. People aged 76 to 85 should talk with their health care provider about whether continuing screening is right for them. Most people older than 85 should no longer be screened. If you are being screened, there are many testing options. Talk with a health care provider about which tests are best for you and how often testing should be done.

Lung cancer testing

People ages 50 to 80 should get yearly lung cancer screening with a low-dose CT (LDCT) scan if they smoke or used to smoke, and if they have at least a 20 pack-year history of smoking. (A pack-year is equal to smoking 1 pack or about 20 cigarettes per day for a year. For example, a person could have a 20 pack-year history by smoking 1 pack a day for 20 years, or by smoking 2 packs a day for 10 years.)

Before deciding to be screened, people should discuss with their healthcare provider the purpose of screening, how it is done, and the benefits, limits, and possible harms of screening. People who still smoke should be counseled about quitting and offered resources to help them quit.

Breast cancer testing

Women should get a mammogram every 2 years, or you can choose to get one every year. Be sure you understand the pros and cons of breast cancer screening.

It’s important to know if you are at higher than average risk for breast cancer. If you are, talk to a health care provider about whether you need to get other tests done along with your mammograms.

It's also important to know how your breasts normally look and feel and to report any changes to a health care provider right away.

Cervical cancer testing

No testing is recommended if you’ve had regular cervical cancer testing with normal results during the previous 10 years, or if your cervix was removed for a reason other than cervical cancer or pre-cancer.

People with a history of a serious cervical pre-cancer should continue testing for 25 years after that diagnosis.

Prostate cancer testing

Overall health status, and not age alone, is important when making decisions about prostate cancer testing. Men who can expect to live at least 10 more years should talk with a health care provider about the uncertainties, risks, and potential benefits of testing so they can decide if they want to be tested.