Cancer Screening

Question 1

Prostate

Answer 1

• No, unless FHx/LUTS - consider PSA

Question 2

CRC

Answer 2

• FOBT every 2 years, >50YO - 75YO
• For mod-high risk: sigmoid/c’scope

Question 3

Breast Ca

Answer 3

• RF: age, personal Hx, strong FHx

*Low risk: mammograms every 2 years from 50YO - 74YO

• If FHx or first-degree relatives: mammograms every 2 years from 40-49YO
• If high risk: regular breast exams, annual mammography/MRI/USS, refer to oncologist - consider prophylactic mastectomy/BSO

Question 4

Skin

Answer 4

‘Sun Smart’ to decrease melanoma/SCC

• If high risk: hx of above, - skin checks every 6-12 months, self-examination

RF’s: UV exposure

Question 5

Cervical

Answer 5

Women aged 25 to 74 years of age should have a cervical screening test two years after their last Pap test. Subsequently, you will only need to have the test every five years if your results are normal.

• HPV vaccination - should be given prior to the onset of sexual activity ~15YO
• Women aged 25-74YO, both HPV vaccinated/unvaccinated, HPV test every 5 years