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
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