Colon Cancer & You
Take our questionnaire to find out what screening schedule is right for you.
Take Our Colon Cancer Screening Questionnaire
or 2 or more FDR with CRC or adenoma at any age?
Or 2 Second Degree Relatives (SDR) with CRC or high risk adenoma?
Your Screening Recommendation
or 10 years before the youngest case in the immediate family.
Surveillance: Colonoscopy every 5 years
Your Screening Recommendation
Screening recommendations: (USPSTF)
Colonoscopy every 10 Years (inadequate prep repeat within one year or alternative screening test)
FIT annually
FIT-DNA every 1-3 years
CT colonography every 5 years
Flex sig every 5 years
Flex sig every 10 years and FIT yearly
Your Screening Recommendation (USMSTF)
hyperplastic polyps
– Distal to sigmoid any size, any numbers: Colonoscopy in 10 years. – Proximal to sigmoid, size: < 5mm, number: < 3: Colonoscopy in 10 years. – Proximal to sigmoid, size: 6-9 mm (at least one), and or number: > 4: Colonoscopy in 5 years,
Adenoma:
– 1-2 small adenoma (LRA): Colonoscopy in 5-10 years
– High risk adenoma (HRA): size > 10 mm, number 3-10, villous component, or high grade dysplasia: 1st Surveillance Colonoscopy in 3 years
2nd surveillance Colonoscopy in 5 years (if no polyps or LRA)
– > 10 Adenoma: Colonoscopy in less than 3 years
– Adenoma with piecemeal resection: Colonoscopy in 2-6 months
Serrated lesions
– < 10 mm and no dysplasia: Colonoscopy 5 years – > 10 mm, dysplasia (any size), or traditional serrated adenoma: Colonoscopy 3 years
– Serrated polyposis Syndrome (5 polyps proximal to sigmoid and 2 or more larger than 10 mm, > 20 serrated polyps throughout the colon or any serrated polyp proximal to sigmoid with family history of serrated polyposis syndrome): Colonoscopy in one year
Your Screening Recommendation (USMSTF)
Surveillance for Colon cancer
1 year after surgery and if normal repeat in 3 years, and then every 5 years
Surveillance for localized rectal cancer in case surgery was done without a total mesorectal excision or if patient undergone a transanal local excision or endoscopic submucosal dissection and those with locally advanced cancer who did not receive neoadjuvant chemoradiation, and also surgery using a total mesorectal excision techniques consider local surveillance with Flexsig or EUS every 3-6months for the first 2-3 years after surgery
CRC Stage II, III : Consider CEA levels every 3-6 months for first 2-3 years
Your Screening Recommendation
For FAP, start screening at puberty with sigmoidoscopy every 1-2 years until age 40 then colonoscopy every year.
For AFAP and MAP start screening at puberty with colonoscopy every year.
Genetic counseling and testing recommended for patient with:
– >100 adenoma
– >10 adenoma
– First degree relative (FDR) of FAP or AFAP
Your Screening Recommendation
Genetic counseling and testing
Your Screening Recommendation
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44 or Younger
No screening necessary.
45-75
Screening recommendations: (USPSTF)
Colonoscopy every 10 Years (inadequate prep repeat within one year or alternative screening test)
FIT annualy
FIT-DNA every 1-3 years
CT colonography every 5 years
Flex sig every 5 years
Flex sig every 10 years and FIT yearly
76-85
Screening appropriate if: (USPSTF)
Never been screened before
Person healthy to undergo treatment for colorectal cancer if needed
No comorbidities that limit their life expectancy
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Your content goes here. Edit or remove this text inline or in the module Content settings. You can also style every aspect of this content in the module Design settings and even apply custom CSS to this text in the module Advanced settings.
44 or Younger
No screening necessary.
45-75
Screening recommendations: (USPSTF)
Colonoscopy every 10 Years (inadequate prep repeat within one year or alternative screening test)
FIT annualy
FIT-DNA every 1-3 years
CT colonography every 5 years
Flex sig every 5 years
Flex sig every 10 years and FIT yearly
76-85
Screening appropriate if: (USPSTF)
Never been screened before
Person healthy to undergo treatment for colorectal cancer if needed
No comorbidities that limit their life expectancy
Your Screening Recommendation
No screening necessary.
Your Screening Recommendation
Screening recommendations: (USPSTF)
Colonoscopy every 10 Years (inadequate prep repeat within one year or alternative screening test)
FIT annualy
FIT-DNA every 1-3 years
CT colonography every 5 years
Flex sig every 5 years
Flex sig every 10 years and FIT yearly
Your Screening Recommendation
Screening appropriate if: (USPSTF)
Never been screened before
Person healthy to undergo treatment for colorectal cancer if needed
No comorbidities that limit their life expectancy