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What are the screening tests for colorectal cancer?

Cancer - Frequently Asked Questions about Colorectal Cancer
Several tests are available to screen for colorectal cancer. Some are used alone; others are used in combination with each other. Talk with your doctor about which test or tests are best for you. Fecal Occult Blood Test (FOBT)— This test checks for occult (hidden) blood in the stool. At home, you place a small amount of your stool from three consecutive bowel movements on test cards. You return the cards to your doctor's office or a lab where they're checked for blood.
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What is colorectal cancer screening?

Cancer - Frequently Asked Questions about Colorectal Cancer
Screening is when a test is used to look for a disease before there are any symptoms. Cancer screening tests, including those for colorectal cancer, are effective when they can detect disease early. Detecting disease early can lead to more effective treatment. In some cases, screening tests can detect abnormalities such as polyps before they have a chance to turn into cancer. So removing polyps can prevent colorectal cancer from developing.
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What other tests are available for screening of colorectal cancer?

Colon Cancer Screening, Clinic & Information - Scan Dire...
In this test, stool samples are collected in a small plastic container and analyzed in a laboratory for the presence of blood. The flexible sigmoidoscopy can only assess the lower rectum and colon for polyps. Both these tests can miss a lot of cancers and false positives can occur (conditions like hemorrhoids and rectal ulcers may also bleed). Data reveals that this test only prevent 12-16% of colorectal cancers. The sigmoidoscopy can only evaluate the bottom 20-24 inches of colon and rectum.
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Colorectal Cancer Questions & Answers - Colon Cancer on Yaho...
Several tests can be used to screen for colorectal cancer. These recommended tests are used alone or in combination with each other Fecal Occult Blood Test (FOBT) - A test that checks for occult (hidden) blood in the stool. At home, using a small stick from a test kit, you place a small amount of your stool, from three bowel movements in a row, on test cards. You return the cards to your doctor's office or a lab, where they're checked for blood. This test is recommended yearly.
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What tests can detect colorectal cancer?

WHI Participant website
Answer: Fecal occult blood test: (FOBT) is used to find occult “hidden” blood in the stool if FOBT detects blood in the stool additional testing is needed to determine the cause of the bleeding. Certain foods and drugs can also influence test FOBT test results. For this test a kit with instructions is usually given that explains how to take the stool samples at home (usually 3 specimens). The kit is then returned to the doctor's office or medical laboratory for testing.
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Is colorectal cancer screening covered by insurance?

Cancer - Frequently Asked Questions about Colorectal Cancer
Most insurance plans help pay for screening tests for people aged 50 or older. Many plans also help pay for screening tests for people less than age 50 who are at increased risk for colorectal cancer. Check with your health insurance provider to determine your colorectal cancer screening benefits.
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Why is age so important in screening for colorectal cancer?

Weiss Memorial Hospital - Colon Cancer FAQ
The risk of colorectal cancer tends to increase after the age of 40. Beginning at age 50, all men and women should be screened for colorectal cancer, even if they are not experiencing problems or symptoms. Annually, approximately 130,000 new cases of colorectal cancer are diagnosed in the United States and 56,000 people die from the disease. It has been estimated that increased awareness and screening could save 30,000 lives each year.
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Can you explain more about each type of screening test for colorectal cancer?

Weiss Memorial Hospital - Colon Cancer FAQ
For a digital rectal exam, the doctor gently inserts a gloved, lubricated finger into the rectum and feels for abnormal areas. Fifteen percent of colorectal cancers can be detected by digital rectal examination. The stool test for blood (FOBT) checks for hidden or occult blood in the stool. Sometimes colorectal cancers can cause bleeding that cannot be seen. For this test, a small amount of stool is placed on a plastic slide or on special paper.
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What are the current recommendations for screening for colorectal cancer?

FAQ's
Regular screening is recommended for people over 40 with a family history of colon cancer, and for all people over 50.
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Why is screening for colorectal cancer important?

Colon Cancer Screening, Clinic & Information - Scan Dire...
Colorectal cancer is the second most common cause of cancer related deaths in North America. Each year about 60,000 individuals are expected to die from the disorder and close to 150,000 new cases are diagnosed each year. In the early stages, colon cancer presents with no symptoms. In the majority of cases, the early beginnings of a colorectal cancer are a small polyp. These small balloon-like tissues usually start of as very small flat lesions but over a 3-10 year period can progress to cancer.
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What are the Medicare Preventive Service Benefits for colorectal cancer screening?

Cancer - Frequently Asked Questions about Colorectal Cancer
People with Medicare who are aged 50 or older are eligible for colorectal cancer screening. There is no age limit for colonoscopy. For more information about Medicare's coverage related to colorectal cancer screening, call the Centers for Medicare and Medicaid Services at 1-800-MEDICARE (1-800-633-4227) or visit the Medicare Web site at www.medicare.gov/health/coloncancer.asp. TTY users should call 1-877-486-2048.
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What is colorectal cancer?

WHI Participant website
Answer: Cancer is a disease in which abnormal cells divide without control and can spread to other parts of the body. The colon and rectum are part of the large intestine (large bowel). Colon and rectum cancers which are sometimes referred to together as "colorectal cancer" arise from the lining of the large intestine. When cancer arises from the lining of an organ like the large intestine it is called a carcinoma.
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Cancer - Frequently Asked Questions about Colorectal Cancer
Cancer is a group of diseases in which there is abnormal and uncontrolled growth of cells in the body. If left untreated, malignant (or cancerous) cells can spread to other parts of the body. "Colorectal" refers to the colon and rectum, which together make up the large intestine. Colorectal cancer can begin anywhere in the large intestine. The majority of colorectal cancers begin as polyps—abnormal growths—inside the colon or rectum that may become cancers over a long period of time.
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What radiology screening tests are currently available for lung cancer?

FAQ's
Chest X-rays have been used for decades to screen for lung cancer. More recently, many physicians have advocated high-resolution chest CT scans as a far better test; chest CT screening for lung cancer has also received a great deal of attention by the news media.
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Who should have a colorectal screening?

Colon Cancer Screening, Clinic & Information - Scan Dire...
The American Cancer Society recommends patients seek colorectal cancer screening as early as age 50 and every 3-5 years thereafter. Patients with a strong family history of colorectal cancer or polyps should be screened more often. High-risk patients should begin the above screening intervals starting at age 40.
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What is the insurance coverage for colorectal cancer screening?

ColonTest - Sensitive FAQ's
Check with your health insurance provider to determine your colorectal cancer screening benefits. Many insurance plans help pay for screening tests for people aged 50 years and older. Many plans also help pay for screening tests for people under 50 who are at greater than average risk for colorectal cancer.
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What is invasive colorectal cancer?

WHI Participant website
Answer: Invasive colorectal cancer involves abnormal cells from the colon or rectum which can invade nearby tissues and can spread to other parts of the body.
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What are the symptoms of colorectal cancer?

WHI Participant website
Answer: Symptoms that could be associated with colorectal cancer include a change in bowel habits such as constipation, diarrhea, or narrowing of the stool that lasts for more than a few days; cramping or steady abdominal (stomach area) pain; weakness and fatigue; rectal bleeding or blood in or on the stool; or a feeling of having to have a bowel movement that is not relieved by doing so. Since other conditions can cause these symptoms, a medical work up is needed.
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Which test should I have to screen for colorectal cancer?

Colon Polyps
Colon polyps usually do not cause symptoms unless they are larger than 1 cm (0.4 in.) or they are cancerous. The most common symptom is rectal bleeding. Sometimes the bleeding may not be obvious (occult) and may only be discovered after doing a screening test for blood in the stool called a fecal occult blood test (FOBT). Colon polyps usually do not cause pain or a change in bowel habits unless they are large and are blocking part of the colon.
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Colonoscopy
Colorectal cancer (CRC) is cancer of the colon and rectum in which abnormal cell growth occurs in the large intestine and a tumor is formed. A tumor may be benign or malignant. In a benign tumor, the cells grow and remain at their original site. In a malignant tumor, the abnormal cells grow and invade the adjacent intestine and spread to other sites.
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What causes colorectal cancer?

Cancer - Frequently Asked Questions about Colorectal Cancer
The exact cause of most colorectal cancers is not yet known. About 75% of colorectal cancers occur in people with no known risk factors. There are some known factors that may increase a person's risk of developing colorectal cancer, which include: Genetic syndromes such as familial adenomatous polyposis (FAP) or hereditary nonpolyposis colon cancer (HNPCC). (Just 5% of colorectal cancers are linked to these genetic syndromes.)
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Who is at risk of developing colorectal cancer?

Cancer - Frequently Asked Questions about Colorectal Cancer
Colorectal cancer occurs in men and women of all racial and ethnic groups. Approximately 75% of colorectal cancers occur in people with no known risk factors. Other important facts about risk for colorectal cancer include: More than 90% of colorectal cancers are diagnosed in people aged 50 or older. The risk of developing colorectal cancer increases with age. A family history of colorectal cancer or colorectal polyps may increase a person's risk of developing colorectal cancer.
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Is there anything I can do to reduce my risk for colorectal cancer?

Cancer - Frequently Asked Questions about Colorectal Cancer
There is strong scientific evidence that having regular screening tests for colorectal cancer beginning at age 50 reduces deaths from colorectal cancer. Screening tests can find precancerous polyps (abnormal growths) in the colon and rectum, and polyps can be removed before they turn into cancer. Studies have also shown that increased physical activity and maintaining a healthy weight can decrease the risk for colorectal cancer.
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Who should be tested for colorectal cancer?

Cancer - Frequently Asked Questions about Colorectal Cancer
All men and women aged 50 years and older should be tested for colorectal cancer routinely. Others who are at increased risk should speak to their doctors about earlier or more frequent testing. Those at increased risk are people with: Certain diseases of the intestines, including inflammatory bowel disease (ulcerative colitis or Crohn's disease); or Genetic syndromes such as familial adenomatous polyposis (FAP) or hereditary nonpolyposis colon cancer (HNPCC).
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