Screening - Colon

Question 1

who is average risk?

Answer 1

asymptomatic

no Fhx of UC, polyps, CRC

Question 2

when average risk testing begin?

Answer 2

> age 50

Ax earlier for high risk

Question 3

average risk testing when?

Answer 3

> 50

FOBT/FIT q2y or flexi sig q10yr

Question 4

colonoscopy as screening for average risk ?

Answer 4

Nope

Question 5

average risk screening stops as which age?

Answer 5

75

assessed individually age 76-85

Question 6

increased risk people are who?

Answer 6

asymptomatic regardless of age but positive family hx

Question 7

screening for HNPCC? Hereditary nonpolyposis colorectal cancer

Answer 7

1. genetic counselling/special screening

2. colonoscopy q1-2y age 20 or 10yr younger than earliest case in famly

Question 8

screening for FAP? Familial Adenomatous Polyposis

Answer 8

sigmoidoscopy annually begin age 10-12

Question 9

screening for AAPC? Attenuated adenomatous polyposis coli

Answer 9

colonoscopy annually begin age 16-18

Question 10

screening for someone with a first degree relative with cancer or adenomatous polyp <60
OR
>2 FIRST degree relatives with polyops or cancer at ANY age

Answer 10

colonoscopy q5y at age 40 or 10 years younger than earliest case

Question 11

screening for someone with a first degree relative with cancer or adenomatous polyp >60
OR
>2 SECOND degree relatives with polyops or cancer at ANY age

Answer 11

average risk screening to start at age 40 instead of age 50

Question 12

screening for one second-third degree relative affected?

Answer 12

average screening at age 50

Question 13

screening if find 1-2 tubular adenomas <1cm polyp on colonoscopy?

Answer 13

colonoscopy in 5 years

Question 14

screening if find >2 polyp on colonoscopy?

Answer 14

colonoscopy in 3 years

Question 15

what if incomplete exam, numerous polyp, advanced adenoma, malignant/large sesile adenoma

Answer 15

repeat colonoscopy after short interval based on clinical judgement