Familial colorectal cancer screening: When and what to do?
- PMID: 26185367
- PMCID: PMC4499338
- DOI: 10.3748/wjg.v21.i26.7944
Familial colorectal cancer screening: When and what to do?
Abstract
Colorectal cancer (CRC) is the third leading cause of death worldwide and represents a clinical challenge. Family members of patients affected by CRC have an increased risk of CRC development. In these individuals, screening is strongly recommended and should be started earlier than in the population with average risk, in order to detect neoplastic precursors, such as adenoma, advanced adenoma, and nonpolypoid adenomatous lesions of the colon. Fecal occult blood test (FOBT) is a non invasive, widespread screening method that can reduce CRC-related mortality. Sigmoidoscopy, alone or in addition to FOBT, represents another screening strategy that reduces CRC mortality. Colonoscopy is the best choice for screening high-risk populations, as it allows simultaneous detection and removal of preneoplastic lesions. The choice of test depends on local health policy and varies among countries.
Keywords: Advanced adenoma; Colonoscopy; Colorectal cancer screening; Fecal occult blood test; First-degree relative; Sigmoidoscopy.
References
-
- Ries LAG, Melbert D, Krapcho M, Mariotto A, Miller BA, Feuer EJ, Clegg L, Horner MJ, Howlader N, Eisner MP, et al. SEER Cancer Statistics Review, 1975-2004, National Cancer Institute. Available from: http://seer.cancer.gov/csr/1975_2004/
-
- Engholm G, Ferlay J, Christensen N, Bray F, Gjerstorff ML, Klint A, Køtlum JE, Olafsdóttir E, Pukkala E, Storm HH. NORDCAN--a Nordic tool for cancer information, planning, quality control and research. Acta Oncol. 2010;49:725–736. - PubMed
-
- Steliarova-Foucher E, O’Callaghan M, Ferlay J, Masuyer E, Rosso S, Forman D, Bray F, Comber H. The European Cancer Observatory: A new data resource. Eur J Cancer. 2015;51:1131–1143. - PubMed
-
- Curado MP, Edwards B, Shin HR, Storm H, Ferlay J, Heanue M, Boyle P, editors . Cancer Incidence in Five Continents, Vol. IX. IARC Scientific Publications No. 160. Lyon: IARC; 2007. Available from: http://www-dep.iarc.fr/
-
- United Nations, World Population Prospects, the 2006 revision. Available from: http://www-dep.iarc.fr/
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