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Review
. 2020 Nov;104(6):1023-1036.
doi: 10.1016/j.mcna.2020.08.004.

Screening for Colorectal Cancer

Eric M Montminy  1 , Albert Jang  2 , Michael Conner  2 , Jordan J Karlitz  3
Affiliations
Review

Screening for Colorectal Cancer

Eric M Montminy et al. Med Clin North Am. 2020 Nov.

Abstract

Colorectal cancer screening is essential to detect and remove premalignant lesions to prevent the development of colorectal cancer. Multiple screening modalities are available, including colonoscopy and stool-based testing. Colonoscopy remains the gold standard for detection and removal of premalignant colorectal lesions. Screening guidelines by the American Cancer Society now recommend initiating screening for all average-risk adults at 45 years old. Family history of colorectal cancer, other cancers, and advanced colon polyps are strong risk factors that must be considered in order to implement earlier testing. Epidemiologic studies continue to show disparities in colorectal cancer incidence and mortality and wide variability in screening rates.

Keywords: Colorectal cancer; Epidemiology; Screening.

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Conflict of interest statement

Disclosure J.J. Karlitz serves as consultant to Exact Sciences Corporation as well as being a consultant and part of the speakers bureau for Myriad Genetics. Dr J.J. Karlitz has an equity position in Gastro Girl.