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Cancer Screening

Cancer Screening

Catch It Early. Save Lives.

Checking for cancer (or for abnormal cells that may become cancer) in people who have no symptoms is called screening. Several screening tests have been shown to detect cancer early and to reduce the chance of dying from that cancer.

Weighing Benefits and Risks

Potential Benefits

  • Detecting cancer early when it's most treatable.
  • Preventing cancer by finding and removing precancerous growths.
  • Peace of mind from a negative result.

Potential Risks

  • False Positives: Test suggests cancer when none exists, leading to anxiety and unnecessary procedures.
  • Overdiagnosis: Finding a cancer that would never have caused problems or death during a person's life.
  • Physical side effects from invasive tests.

Standard Screening Tests

Breast Cancer

Mammograms find breast cancer when it is easier to treat. MRI may be used for women at higher-than-average risk.

Guideline: 40-74

Cervical Cancer

HPV tests look for high-risk viruses, while Pap tests look for cell changes. Often done together (co-testing).

Guideline: 21-65

Colorectal Cancer

Colonoscopy can find and remove polyps before they turn into cancer. Stool tests (FIT/FOBT) detect hidden blood.

Guideline: 45-75

Lung Cancer

Low-dose CT scans (LDCT) are recommended for people who have a history of heavy smoking and smoke now or quit recently.

Guideline: 50-80 (Smokers)

Prostate Cancer

PSA blood tests measure a protein made by the prostate. High levels can indicate cancer or other non-cancerous conditions.

Guideline: Discuss at 50+

Skin Cancer

Regular skin self-exams using the ABCDE rule can help find suspicious moles or lesions early.

Guideline: All Ages

General Screening Roadmap

Age RangeKey Screening Emphasis
20s & 30sCervical cancer (starting at 21), Skin self-exams, Dental oncology checks.
40sBreast cancer (Mammograms), Colorectal cancer (starting at 45).
50s & 60sProstate cancer discussion, Lung cancer (if history of smoking), Continued 40s regimen.
70+Shared decision making with physician based on life expectancy and health.

Note: Screening assumes no symptoms.

If you notice a lump, unusual bleeding, or persistent pain, do not wait for a scheduled screening. Diagnostic tests are required for investigation and differ significantly from screening protocols.