Jose Luis (Jeric) Aranez M.D.
Colorectal cancer is the third leading cause of cancer death for both men and women in the United States. Screening colonoscopy has been shown to reduce incidence and mortality by way of identification and removal of precancerous polyps and detection of early-stage cancer respectively.
Despite this, we estimate that only 66% of our population are participating in a screening program. More recently, we have noted an increasing trend in new cases in adults younger than 50 and this has led to a new recommendation from the U.S. Preventive Services Task Force (USPSTF) to advocate for screening average risk adults at the age of 45.
Many people with colorectal cancer experience no symptoms in the early stages of the disease, which is why it’s so important to get regular screening tests. Screening tests can find precancerous abnormal growths in the colon or rectum that can be removed before they turn into cancer - essentially preventing the disease.
Throughout the pandemic, screening tests decreased dramatically at the MemorialCare Todd Cancer Institute at Long Beach Medical Center. In fact, across the U.S., screenings were down nearly 90%. This may result in delayed diagnosis and less favorable outcomes. If you delayed a screening test in the last year, now is the time to catch up.
The new recommendations from the USPSTF applies to asymptomatic adults aged 45 or older who are considered average risk for colorectal cancer (no prior diagnosis of colorectal cancer, adenomatous polyps, inflammatory bowel disease, family history in a first degree relative with colorectal cancer).
There are a variety of different screening tests for colorectal cancer:
Each screening test has its advantages and disadvantages, but the best test is the one that gets done. While there are standard recommendations for screenings it’s important you talk to your doctor about your risk factors. Certain factors like a family history of colorectal cancer or certain ethnicities may have increased risk, which means you may need to be screened more frequently or earlier than the standard recommendations.
For patients with confirmed or suspected colorectal cancer, the MemorialCare Todd Cancer Institute at Long Beach Medical Center offers a collaborative approach to diagnosis and treatment, including the latest in targeted treatments, radiation therapy and surgery.
Learn more about the author, Dr. Aranez.
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