Flashcards in Wk6 Cancer Screening Westra Deck (26)
Group with highest mortality rate from CRC?
Only group CRC is not decreasing in:
American Indians and Alaska Natives
Examples of primary prevention of CRC:
1. Diet-Exercise (BMI)
2. COX-2 inhibitors
3. Calcium/vit D
4. Hormone replacement therapy
Secondary CRC prevention strategies:
GET POLYPS OUT!
95% of CRC comes from adenomatous and serrated polyps
What constitutes "average risk" of CRC:
No personal or FHx
When to start screening "average risk" for CRC?
How often follow up?
age 50 (45 for African Americans)
every tens years if scope is normal
Age to discontinue CRC screening:
Colonoscopy screening frequency in average risk?
every 10 years
Flex-sig screening for average risk; how often?
every 5 years
+/- fecal occult blood test
Stool DNA panel every three years?
-no dietary prep
Cologuard compared to FIT:
More sensitive but more false positives
PillCam vs colonoscopy?
Main patient reason for not having colonoscopy?
RF for CRC
Age > 50
Personal Hx of CRC or adenomas
Hx endometrial/ovarian/breat CA
First deg relative with CRC
First deg relative with adenoma before age 60
When to start screening a pt with first degree relative with CRC:
40 ... or 10 years younger than relative was at dx... whichever is earlier
Group that 75% of CRC arise in:
Average risk group
What is the "choosing wisely campaign"?
Do not repeat CRC screening for 10 years in average risk group after high quality negative colonoscopy
Symptoms of high suspicion for CRC:
Ethnicity at greater risk for esophageal SCC?
Ethnicity at greatest risk for esophageal adenocarcinoma:
RF for SCC:
RF for adenocarcinoma:
Only real screening for Esophageal CA:
Likely causes of HCC in USA:
Screening options for HCC in high risk:
Abd CT -- US if CT not available