Colorectal Cancer Screening

Publication Date: July 3, 2017

Key Points

Key Points

Colorectal cancer (CRC) screening should begin at age 50 years in asymptomatic persons.

Colonoscopy every 10 years and annual fecal immunochemical test (FIT) are currently the first considerations for screening.

A risk-stratified approach is also appropriate, with FIT screening in populations with an estimated low prevalence of advanced neoplasia and colonoscopy screening in high prevalence populations.

Diagnosis

Diagnos...

The U.S. Multi-Society Task Force...


The USMSTF suggests that sequential offers of sc...


...recommends colonoscopy every 10 years or ann...


...TF recommends that physicians performing sc...


...F recommends that physicians performing FIT...


...SMSTF recommends CT colonography every 5 years...

...xible sigmoidoscopy every 5–10 years. ( H...


The USMSTF suggests that capsule colonosc...


...USMSTF suggests against Septin 9 for CRC screeni...


...ecommends that screening begin in non–African Am...


The USMSTF suggests that screening...


...e USMSTF recommends that ad...


...ests that persons who are up-to-date with s...


...F suggests that persons without prior screenin...


Table 1. Approaches to Offering Screening in the Opportunistic Setting

...ble 1. Approaches to Offering Screen...

Table 2. Histologic Classification of the Two Major Classes of Colorectal Polyps

...le 2. Histologic Classification of...

Figure 1. Endoscopic Photographs of Conventional Adenomas and Sessile Serrated Polyps

...Endoscopic Photographs of Conventional Aden...

Table 3. Frequently Asked Questions from Patients to Enhance Colonoscopy Quality

...tly Asked Questions from Patients to Enha...

Table 4. USMSTF Ranking of Current Colorectal Cancer Screening Tests

...e 4. USMSTF Ranking of Current Colorecta...

Table 5. USMSTF Recommendations for Persons With High-Risk Family Histories Not Associated With Polyp Syndromes

...USMSTF Recommendations for Persons W...