Integrated Cancer Screening

Colorectal Cancer Screening

What is Colorectal Cancer?

Normal

Polyp (adenomatous polyp)

Cancer

10 – 15 years

Less than 5% of all polyps become cancer Colorectal cancer symptoms can take 10 - 15

years to appear

Colorectal Cancer Facts

Both men and women can get colorectal cancer

Second leading cause of cancer death in Ontario

No early warning symptoms

It can take 5 to 10 years from when a cancer starts to grow before symptoms appear

Estimated new cases:

8700Estimated deaths:

335090% of these cancers are treatable when found early!

Colorectal Cancer in Ontario 2013

Average Risk, age 50-74 Fecal Occult Blood Test (FOBT)

Increased Risk Colonoscopy

What are The Tests for Colorectal Cancer?

Checks for small amount of blood in stool Men and women age 50 and

older

No family history of colorectal cancer

No symptoms or other health conditions

Fecal Occult Blood Test (FOBT)

Every 2 years

Done at home

No cost

Fecal Occult Blood Test (FOBT)

How To Do The Test

No Vitamin C, citrus fruits or juices for 3 days before and during test

Use collection kit to get a clean sample

Fecal Occult Blood Test

Plan to collect clean samples free of urine, water or tissue

Fecal Occult Blood Test

Collect 2 samples from 3 different bowel movements over 1 week

Fecal Occult Blood Test

Send the card by mail

Result letter in 2-3 weeks Recall Letter

Fecal Occult Blood Test

Positive test means blood is in the sample

Only 5% of positive tests are cancer

More tests (Colonoscopy)

Positive FOBT?

Ask your family doctor

Call  Telehealth Ontario at 1-866-797-0000 to talk to a registered nurse about how to get the FOBT kit

How to Get a FOBT Kit?

Colonoscopy

Increased Risk Population

A test that uses a small camera to look at the inside of the colon

What is a Colonoscopy?

Screening test for increased risk:

Strong family history of colon cancer

Other health conditions in the digestive system

Positive FOBT: Follow-up test

Colonoscopy

How to Preparefor a Colonoscopy

No food or drink, clear fluids only 12 hours before the test

Prepare bowel with medication from the drug store

Colonoscopy

After sedation, doctor inserts endoscope through anus into rectum and colon

Depending on results, doctor will suggest next steps

Questions ?

Thank you