Chapter 078. Prevention and Early Detection of Cancer (Part 8)

Screening for Specific Cancers Widespread screening for cervical, colon, and likely breast cancer is beneficial for certain age groups. A number of organizations have considered whether or not to endorse routine use of certain screening tests. Because these groups have not used the same criteria to judge whether a screening test should be endorsed, they have arrived at different recommendations. The . Preventive Services Task Force (USPSTF), the Canadian Task Force on Preventive Health Care, and the American Cancer Society (ACS) publish screening guidelines (Table 78-3). Special surveillance of those at high risk for a specific cancer because of. | Chapter 078. Prevention and Early Detection of Cancer Part 8 Screening for Specific Cancers Widespread screening for cervical colon and likely breast cancer is beneficial for certain age groups. A number of organizations have considered whether or not to endorse routine use of certain screening tests. Because these groups have not used the same criteria to judge whether a screening test should be endorsed they have arrived at different recommendations. The . Preventive Services Task Force USPSTF the Canadian Task Force on Preventive Health Care and the American Cancer Society ACS publish screening guidelines Table 78-3 . Special surveillance of those at high risk for a specific cancer because of a family history or a genetic risk factor may be prudent but few studies have assessed the influence on mortality. Table 78-3 Screening Recommendations for Asymptomatic Normal- Risk Subjects Test Procedure or USPSTF ACS CTFPHC Sigmoidoscopy Fair evidence recommend 50 toevery 5 years Fair evidence to consider Fecal blood testing occult 50 good 50 evidence forevery year every 1-2 years Good evidence age 50 Colonoscopy No evidence direct 50 every 10 years No direct evidence Digital examination rectal No No No recommendation recommendation recommendation Prostate- Insufficient M 50 Recommendation specific antigen evidence toevery year against recommend Pap test F 18-65 F with Fair evidence to every 1-3 years uterine cervix include in examination beginning 3 of sexually active years after first women intercourse or by age 21. Yearly for standard Pap every 2 years with liquid test. Pelvic No F 18-40 Not considered examination recommendation every 1-3 years advise adnexalwith Pap test palpation during 40 every year exam for other .

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