Screening Guide for Colorectal Cancer

Colon Cancer screening tests can identify and allow removal of pre-cancerous polyps and prevent the development of cancer. As of 5/30/18, American Cancer Society has changed their recommendations for screening guidelines for early detection of colorectal cancer. See the updated guidelines below. 

According to new guidelines set by ACS, beginning at age 45, both men and women should follow one of the examination schedules below:

Stool-Based Tests

  • Fecal Immunochemical Test (FIT) every year
  • Guaiac-Based Fecal Occult Blood Test (gFOBT) every year
  • Stool DNA Test every 3 years
Visual (Structural) Exams
  • Colonoscopy every 10 years
  • CT Colonography (Virtual Colonoscopy) every 5 years
  • Flexible Sigmoidoscopy every 5 years
People with any of the following colorectal cancer risk factors should begin screening procedures at an earlier age and/or be screened more often:
  • Strong family history of colorectal cancer or polyps in a first-degree relative, especially in a parent or sibling before the age of 45 or in two first-degree relatives of any age
  • Family with hereditary colorectal cancer syndromes, such as familial adenomatous polyposis and hereditary nonpolyposis colon cancer
  • Personal history of colorectal cancer or adenomatous polyps
  • Personal history of chronic inflammatory bowel disease (Crohn's disease or ulcerative colitis)
  • Personal history of radiation to the abdomen (belly) or pelvic area to treat a prior cancer

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