ibusinesslines.com August 17, 2018

Colon cancer screening should begin at 45: US doctors

03 June 2018, 01:32 | Melissa Porter

If you were born in the 80s or later, you're at significantly higher risk of colon and rectal cancer — and experts say you should get screened younger

According to new guidelines released on Wednesday most U.S. adults should begin getting screened for colon cancer when they turn 45

The group said improved screening techniques is a possible reason more cases of colorectal cancer are being found in the 45-50 age group.

Like DeBord, University of Minnesota Health oncologist Dr. Emil Lou applauds the American Cancer Society's new recommendation for people, even without a family history, to get colorectal cancer screenings five years younger at age 45.

Dr. Cedrek McFadden is a physician with GHS.

Missing from all of these stories, however, is any quantification of the actual rate of colon cancer in these groups, which might help readers understand what the ACS spokesman means by "all too common".

Colorectal cancer (CRC) screening should begin at age 45 for people at average risk, according to updated guidelines from the American Cancer Society published online May 30 in CA: A Cancer Journal for Clinicians. And they typically do not show the traditional risk factors - obesity, smoking, physical inactivity or high-fat diets.

"If we find it in later stages, survival is less than 20%", McFadden explained.

Raff says he has definitely seen an increase in the number of young people diagnosed with colorectal cancer.

The updated guidelines include six test options, ranging from non-invasive to colonoscopies. That change has been attributed to healthy lifestyle changes and more widespread screening.

According to Elena Ivanina, a gastroenterologist at Lenox Hill Hospital in NY, the 51 percent increase in colorectal cancer among those under age 50 since 1994 is an "alarming" trend.

Experts say it is unclear why colon cancer rates are on the rise in younger people. The recommendation for regular screening in adults aged 50 years and older is designated as a "strong recommendation", on the basis of the greater strength of the evidence and the judgment of the overall benefit.

The American Cancer Society is the first organization that has recommended colon cancer screening begin earlier for average-risk men and women of all races and ethnicities.

Another option is a multi-target stool DNA test, which is done every three years and also involves collecting a sample at home and sending it in.

If you are 45 or older, you should have a colonoscopy every 10 years. These studies provided no answers to the research question of the rapid report, however: Due to a lack of new findings, benefit or harm of the screening for people under the age of 55 years with a family history remain unclear.

Exercising more and eating less processed foods can reduce a person's chances of getting this type of cancer.

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