Screening guidelines

Question 1

Colorectal screening
Average risk

Answer 1

iFOBT every 2 years 50-74

PLUS
Low dose aspirin 100-300mg daily for at least 2.5 yrs (50-70)

Question 2

LOW increased risk CRC - qualifiers

Answer 2

Normal population

One 1st degree
OR
One 1st degree AND one 2nd degree >55

Question 3

MODERATE increased risk CRC qualifiers

Answer 3

1st degree <55

Two 1st degrees any age

One 1st degree, plus two 2nd degrees any age

Question 4

Moderate risk CRC actions & screening

Answer 4

• Aspirin 100-300mg for at least 2.5 yrs (50-70)
• iFOBT every 2yrs 40-49
• Colonoscopy every 5yrs from 50- 74

Question 5

HIGH risk CRC qualifiers

Answer 5

Asymptomatic:
- three 1st degrees or 2nd degrees (with at least 1 <55)
- Three 1st degrees at any age

-High risk familial syndromes (eg lynch)
-A family member who has a lynch syndrome related cancer
- Familial polyposis sydnrome

Question 6

HIGH risk CRC actions

Answer 6

iFOBT every 2yrs 35-45

Colonoscopy every 5yrs from 45 -74

Referral to family cancer clinic for genetic risk assessment

Question 7

Breast cancer screening

Answer 7

Mammogram every 2 years from 50- 74

Consider annual mammograms from 40 in anyone with 1st degree <50

Question 8

FLAG CHEAT SHEET RULE (breast ca)

Answer 8

1. Two relatives same side = 1 flag
2. First degree relative = 1 flag
3. Age <50 = 1 flag

ONE flag = average risk
TWO flags= Moderate risk

Question 9

Breast cancer screening

Answer 9

Mammogram every 2 years from 50- 64

Consider annual mammograms from 40 in anyone with 1st degree <50