March 5, 2019
Colorectal cancer is the second leading cause of cancer-related deaths among men and women combined. We want to take this month to bring awareness to colorectal cancer and routine screenings that can prevent this type of cancer. This year alone, over 50,000 people will die from colorectal cancer, and an estimated 60% could have been prevented with screenings.
Here is some information from the Fight Colorectal Cancer Organization on the types of screenings. Our physicians recommend a Colonoscopy as the preferred choice of screening. A colonoscopy is the only screening test that examines your entire colon and can remove polyps if seen. Our physicians would love the opportunity to further discuss these screening options with you.
COLORECTAL CANCER SCREENING TESTS
|Test Name||Finds Polyps?||Finds Cancer?||Requires Prep to Clean Colon?||Requires Handling Stool?||Polyps Removed During Test?||Abnormal Areas Biopsied?||Entire Colon Viewed?||Other|
|Tests approved by the USPSTF and guaranteed covered by insurers|
|Flexible Sigmoidoscopy||Yes||Yes||Yes||No||Yes||Yes||No||Can be done alone every 5 years or in combination with FIT or gFOBT|
|HemeSensa Fecal Occult Blood Test (gFOBT)||Not Generally||Yes||No||Yes||No||No||N/A||Requires follow-up colonoscopy if positive|
|Yes||Yes||Yes||No||No||No||Yes||Involves pumping air into colon to inflate|
|Stool DNA Test (Cologuard)||Yes||Yes||No||Yes||No||No||Yes||Also determines genetic mutations that can indicate cancer|
|Fecal Immunochemical Test (FIT)||No||Yes||No||Yes||No||No||N/A||Requires follow-up colonoscopy if positive|
|Tests not approved by the USPSTF so may not be covered by insurers|
|PillCam COLON||Yes||Yes||Yes||No||No||No||N/A||Approved for use in patients following an incomplete colonoscopy or who cannot receive a colonoscopy|
|Blood-based Septin9 methylated DNA test
|No||Yes||No||No||No||No||N/A||A blood test that can detect colorectal cancer. Approved for patients over 50 who avoid or are unable to undergo colonoscopy, FIT or gFOBT testing.|
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