Guidance on when to start screening for colon cancer

Guidance on when to start screening for colon cancer
Jeffrey Methven, MBA President/CEO — St. Mary's Hospital
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Colon cancer screenings are generally advised to start at age 45, according to Dr. Garth Garramone. However, individuals with a family history of colon cancer or polyps may need to begin screenings earlier.

Colon cancer ranks as the second leading cause of cancer in both men and women in America. The disease originates from polyps, which are small growths that can form in the colon. While initially benign, these polyps can become cancerous within three to ten years if not removed. A colonoscopy allows for the removal of polyps, thereby preventing the development of colon cancer.

For those at average risk, a colonoscopy is typically recommended every ten years. The frequency may vary depending on individual risk factors such as family history and previous colonoscopy results.

Alternative non-invasive screening tests exist for patients who prefer not to undergo a colonoscopy. The fecal immunochemical test (FIT) is a stool test usually performed annually and can be ordered by a primary care physician. Another option is the stool DNA test, which is conducted every three years; this test is ordered by a physician and completed at home. If these tests return positive results, a follow-up colonoscopy would be necessary.

Dr. Garramone emphasizes the importance of getting screened since colon cancer is common but preventable.



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