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Colon Cancer & You

Take our questionnaire to find out what screening schedule is right for you.

Colon Cancer & You

Take Our Colon Cancer Screening Questionnaire

Start your colon screening below to get recommendations for your regular checkups.

Family history

If No, skip to next question.

Do you have one first degree relative (FDR) with colorectal cancer (CRC) or high risk adenoma( size> 10 mm, number 3-10, villous component, high grade dysplasia) age 60

or 2 or more FDR with CRC or adenoma at any age?

Your Screening Recommendation

Start screening with Colonoscopy at age 40 or 10 years before the youngest case in the immediate family.

Surveillance: Colonoscopy every 5 years

Do you have one first degree related (FDR) with colorectal cancer (CRC) or high risk adenoma(size >10 mm, number 3-10, villous component, high grade dysplasia, ) age > 60 Or 2 Second Degree Relatives (SDR) with CRC or high risk adenoma?

If No, skip to next question.

Your Screening Recommendation

Start screening at age 40

  • 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

Personal history of polyps

If No, skip to next question.

Your Screening Recommendation (USMSTF)

If you had:

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

Personal history of Colorectal Cancer (CRC)

If No, skip to next question.

Your Screening Recommendation (USMSTF)

High quality colonoscopy preoperatively then consider repeat colonoscopy in 3-6 months after surgery in the case of obstructive CRC.

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


Familial Adenomatosis Polyposis (FAP)

If No, skip to next question.

Your Screening Recommendation

Classic Familial Adenomatosis Polyposis (FAP): > 100 adenoma, Attenuated FAP (AFAP) : > 10-20 adenoma 0r MYH-Associated Polyposis (MAP)

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

Lynch Syndrome

If No, skip to next question.

Your Screening Recommendation

Start screening at age 20-25 with colonoscopy every 2 years till age 40 then colonoscopy every year.

Genetic counseling and testing


IBD

If No, skip to next question.

Your Screening Recommendation

All patient with Ulcerative Colitis or Crohn’s colitis should undergo a screening colonoscopy 8 years after onset of symptoms. If at that time disease is localized to rectum and sigmoid colon, consider surveillance as an average risk for colorectal cancer. If the disease is extensive then surveillance with colonoscopy every 1-2 years and if 2 consecutives tests are negative may increase interval to every 1-3 years. After 20 years of extensive disease consider surveillance colonoscopy every year.


Are you African American (GI Societies)?

How old are you?

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

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