The American Cancer Society recommends these screening guidelines for most adults.
Breast cancer
- Yearly mammograms are recommended starting at age 40 and continuing for as long as a woman is in good health
- Clinical breast exam (CBE) about every 3 years for women in their 20s and 30s and every year for women 40 and over
- Women should know how their breasts normally look and feel and report any breast change promptly to their health care provider. Breast self-exam (BSE) is an option for women starting in their 20s.
Some women – because of their family
history, a genetic tendency, or certain other factors – should be
screened with MRI in addition to mammograms. (The number of women who
fall into this category is small: less than 2% of all the women in the
US.) Talk with your doctor about your history and whether you should
have additional tests at an earlier age.
For more information, call the American Cancer Society and ask for our document called Breast Cancer: Early Detection.
Colorectal cancer and polyps
Beginning at age 50, both men and women should follow one of these testing schedules:
Tests that find polyps and cancer
- Flexible sigmoidoscopy every 5 years*, or
- Colonoscopy every 10 years, or
- Double-contrast barium enema every 5 years*, or
- CT colonography (virtual colonoscopy) every 5 years*
Tests that primarily find cancer
- Yearly fecal occult blood test (gFOBT)*,**, or
- Yearly fecal immunochemical test (FIT) every year*,**, or
- Stool DNA test (sDNA)***
* If the test is positive, a colonoscopy should be done.
**
The multiple stool take-home test should be used. One test done by the
doctor in the office is not adequate for testing. A colonoscopy should
be done if the test is positive.
*** This test is no longer available.
The tests that are designed to find both
early cancer and polyps are preferred if these tests are available to
you and you are willing to have one of these more invasive tests. Talk
to your doctor about which test is best for you.
Some people should be screened using a
different schedule because of their personal history or family history.
Talk with your doctor about your history and what colorectal cancer
screening schedule is best for you.
For more information on colorectal cancer screening, please call the American Cancer Society and ask for our document called Colorectal Cancer: Early Detection.
Cervical cancer
- Cervical cancer screening (testing) should begin at age 21. Women under age 21 should not be tested.
- Women between ages 21 and 29 should have a Pap test every 3 years. Now there is also a test called the HPV test. HPV testing should not be used in this age group unless it is needed after an abnormal Pap test result.
- Women between the ages of 30 and 65 should have a Pap test plus an HPV test (called “co-testing”) every 5 years. This is the preferred approach, but it is also OK to have a Pap test alone every 3 years.
- Women over age 65 who have had regular cervical cancer testing with normal results should not be tested for cervical cancer. Once testing is stopped, it should not be started again. Women with a history of a serious cervical pre-cancer should continue to be tested for at least 20 years after that diagnosis, even if testing continues past age 65.
- A woman who has had her uterus removed (and also her cervix) for reasons not related to cervical cancer and who has no history of cervical cancer or serious pre-cancer should not be tested.
- A woman who has been vaccinated against HPV should still follow the screening recommendations for her age group.
Some women – because of their health history – may need to have a different screening schedule for cervical cancer.
Please see our document called Cervical Cancer: Prevention and Early Detection for more information.
Endometrial (uterine) cancer
The American Cancer Society recommends that
at the time of menopause, all women should be told about the risks and
symptoms of endometrial cancer. Women should report any unexpected
bleeding or spotting to their doctors.
Some women – because of their history – may
need to consider having a yearly endometrial biopsy. Please talk with
your doctor about your history.
See our document called Endometrial Cancer for more information.
Lung cancer
The American Cancer Society does not
recommend tests to screen for lung cancer in people who are at average
risk of this disease. However, the ACS does have screening guidelines
for individuals who are at high risk of lung cancer due to cigarette
smoking. If you meet all of the following criteria then you might be a
candidate for screening:
- 55 to 74 years of age
- In fairly good health
- Have at least a 30 pack-year smoking history AND are eithers till smoking or have quit smoking within the last 15 years
For more information on the lung cancer
screening guidelines, please see “Can non-small cell lung cancer be
found early?” in our document Lung cancer (non-small cell) for more information.
Prostate cancer
The American Cancer Society recommends that
men make an informed decision with their doctor about whether to be
tested for prostate cancer. Research has not yet proven that the
potential benefits of testing outweigh the harms of testing and
treatment. The American Cancer Society believes that men should not be
tested without learning about what we know and don’t know about the
risks and possible benefits of testing and treatment.
Starting at age 50, men should talk to a
doctor about the pros and cons of testing so they can decide if testing
is the right choice for them. If they are African American or have a
father or brother who had prostate cancer before age 65, men should have
this talk with a doctor starting at age 45. If men decide to be tested,
they should have the PSA blood test with or without a rectal exam. How
often they are tested will depend on their PSA level.
For more information, please see our document called Prostate Cancer: Early Detection.
Cancer-related check-ups
For people aged 20 or older having periodic
health exams, a cancer-related check-up should include health counseling
and, depending on a person’s age and gender, exams for cancers of the
thyroid, oral cavity, skin, lymph nodes, testes, and ovaries, as well as
for some non-malignant (non-cancerous) diseases.
Take control of your health, and reduce your cancer risk.
- Stay away from tobacco.
- Stay at a healthy weight.
- Get moving with regular physical activity.
- Eat healthy with plenty of fruits and vegetables.
- Limit how much alcohol you drink (if you drink at all).
- Protect your skin.
- Know yourself, your family history, and your risks.
- Have regular check-ups and cancer screening tests.
- For information on how to reduce your cancer risk and other questions about cancer, please call us anytime, day or night, at 1-800-227-2345 or visit us online at www.cancer.org.
References
Levin B, Lieberman DA, McFarland, et al.
Screening and Surveillance for the Early Detection of Colorectal Cancer
and Adenomatous Polyps, 2008: A Joint Guideline from the American Cancer
Society, the US Multi-Society Task Force on Colorectal Cancer, and the
American College of Radiology. CA Cancer J Clin. 2008;58.
Saslow D, Boetes C, Burke W, et al for the
American Cancer Society Breast Cancer Advisory Group. American Cancer
Society guidelines for breast screening with MRI as an adjunct to
mammography. CA Cancer J Clin. 2007;57:75-89.
Saslow D, Solomon D, Lawson H, et al.
American Cancer Society, American Society for Colposcopy and Cervical
Pathology, and American Society for Clinical Pathology Screening
Guidelines for the Prevention and Early Detection of Cervical Cancer. CA Cancer J Clin. 2012 May-Jun;62(3):147-72. Epub 2012 Mar 14.
Smith RA, Brooks D, Cokkinides V, Salsow D,
Brawley OW. Cancer screening in the United States, 2013: A review of
current American Cancer Society guidelines, current issues in cancer
screening, and new guidance on cervical cancer screening and lung cancer
screening. CA Cancer J Clin 2013, Mar-Apr;63:87-105. Accessed at http://onlinelibrary.wiley.com/doi/10.3322/caac.21174/full on April 23, 2013.
Wender R, Fontham E, Barrera E, et al. American Cancer Society lung cancer screening guidelines: CA Cancer Journal for Clinicians. 2013 Jan 11 [Epub ahead of print].
Last Revised: 05/03/201
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