Cancer Screenings and Early Diagnostics

Size: px
Start display at page:

Download "Cancer Screenings and Early Diagnostics"

Transcription

1 Cancer Screenings and Early Diagnostics Ankur R. Parikh, D.O. Medical Director, Center for Advanced Individual Medicine Hematologist/Medical Oncologist Atlantic Regional Osteopathic Convention April 6 th, 2017

2 Disclosures None 2011 Rising Tide 2

3 Objectives Review epidemiology of common cancers Discuss updates in screening 2011 Rising Tide 3

4 Screening Practices Breast Lung Colorectal Prostate 2011 Rising Tide 4

5 Breast Cancer Overview Leading Sites of New Cancer Cases & Deaths: 2016 Es<mates ACS. Cancer Facts & Figures Breastcancer.org US Breast Cancer Statistics Rising Tide 5

6 Epidemiology SEER Database 2016

7 Epidemiology SEER Database 2016

8 Epidemiology SEER Database 2016

9 Epidemiology SEER Database 2016

10 Epidemiology SEER Database 2016

11 USPSTF Final Recommendation Statement - January 12, 2016 American College of Physicians: AAFP: Rising Tide 11

12 USPSTF Screening Recommendations Average risk AGE years: Individual choice AGE years: Biennial mammography screening AGE 75+: Insufficient evidence High risk women may benefit more by beginning screening in their 40s USPSTF Final Recommendation Statement Breast Cancer: Screening Document/RecommendationStatementFinal/breastcancer-screening Rising Tide 12

13 USPSTF Insufficient Evidence Due to this lack of evidence, unable to make a recommendation for or against these services: 1. Benefits and harms of screening women age Adjunctive screening in women with dense breasts 3. Effectiveness of 3-D mammography as a primary screening method for breast cancer. USPSTF Final Recommendation Statement Breast Cancer: Screening Document/RecommendationStatementFinal/breastcancer-screening Rising Tide 13

14 USPSTF Breast Self-Examination? Clinical Breast Examination? USPSTF recommends against breast self-examination Does not reduce breast cancer mortality May increase false-positive rates Alternative: breast self-awareness USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of clinical breast examination (CBE) beyond screening mammography in women 40 years or older MARIA TRIA TIRONA, MD, Edwards Comprehensive Cancer Center, Huntington, West Virginia, Am Fam Physician Feb 15;87(4): Rising Tide 14

15 American Cancer Society Screening Recommendations Average Risk AGE 40-44: Individual choice AGE 45: Annual mammography screening AGE 55+: Biennial mammography screening Clinical breast exam/self-exam: breast self-awareness High Risk AGE 30: Mammogram AND an MRI every year ACS. Breast cancer prevention and early detection. moreinformation/breastcancerearlydetection/breastcancer-early-detection-acs-recs 2011 Rising Tide 15

16 Breast Cancer Risk Assessment Tool h"ps:// Rising Tide 16

17 Identifying High Risk Patients Family History: BRCA1 or BRCA2 genes First degree relative, or the patient having the mutation BRCA1, 55-65% chance of developing breast cancer by age 70 BRCA2, 45% chance of developing breast cancer by age 70 African-American women Ashkenazi Jewish women Patients who have had radiation therapy to the chest between the ages of 10 and 30 years Patients who have a high lifetime risk of breast cancer ( 20-25%) as assessed by various breast cancer risk assessment tool ACS. Breast cancer prevention and early detection. moreinformation/breastcancerearlydetection/breastcancer-early-detection-acs-recs 2011 Rising Tide 17

18 Summary Navigating differing guidelines USPSTF vs. American Cancer Society Cost-benefit ratio Referral Refer to radiologist for mammogram If further testing needed, refer to surgeon or cancer center for biopsy IMPORTANT: Patient follow-up 2011 Rising Tide 18

19 Screening Practices Breast Lung Colorectal Prostate 2011 Rising Tide 19

20 Lung Cancer Overview Leading Sites of New Cancer Cases and Deaths: 2016 Es<mates 1. American Lung Association. Lung cancer fact sheet SEER Stat Fact Sheets: Lung and Bronchus Cancer Rising Tide 20

21 Lung Cancer Overview Leading Sites of New Cancer Cases and Deaths: 2016 Es<mates Estimated New Cases Estimated Deaths Males Females Males Females 117,920 (14%) 106,470 (13%) 85,920 (27%) 72,160 (26%) 1. American Lung Association. Lung cancer fact sheet SEER Stat Fact Sheets: Lung and Bronchus Cancer Rising Tide 21

22 Epidemiology Lung Cancer Estimated deaths compared with colon, breast, prostate, and pancreatic cancer combined Clin Chest Med December;32(4)

23 Epidemiology Lung Cancer Stage distribution and 5-year relative survival by stage at time of diagnosis for 2001 to Clin Chest Med December;32(4)

24 Epidemiology 90% of all lung cancers are related to cigarette smoking 40 pack per year smoker has 20x risk of developing lung cancer compared to non-smoker

25 5-year Survival Rates by Stage

26 Lung Cancer Screening Clinical outcome for non-small cell lung cancer is directly related to stage at diagnosis Early detection may increase the overall cure rate and allow more limited surgical resection to achieve cure Chest. 1997;111(6):1710

27 Lung Cancer Screening National Lung Screening Trial (NLST) 20% fewer lung cancer deaths among 53,000 par<cipants screened with low- dose helical (spiral) CT compared to those screened with chest X- rays. The trial ended early due to promising results 2011 Rising Tide 27

28 2011 Rising Tide 28

29 2011 Rising Tide 29

30 Lung Cancer Screening Recommendation Consensus Organization Recommendation Year US Preventative Services Task Force Annual LDCT for high-risk individuals American Cancer Society Annual LDCT for high-risk individuals American College of Chest Physicians / American Society of Clinical Oncology Annual LDCT for high-risk individuals American Association of Thoracic Surgery Annual LDCT for high-risk individuals National Comprehensive Cancer Network Annual LDCT for high-risk individuals USPSTF. Lung cancer: screening. Page/Document/UpdateSummaryFinal/lungcancer-screening 2011 Rising Tide 30

31 Identifying High Risk Patients Age 55+ Tobacco: 30 pack-year smoking history Current smoker or quit within the last 15 years Other risk factors: Genetics: Family History Exposure to radon Exposure to asbestos & other hazardous chemicals Particle pollution USPSTF. Lung cancer: screening. Page/Document/UpdateSummaryFinal/lungcancer-screening 2011 Rising Tide 31

32 Counseling for Screening Screening should only be performed when the clinician and patient are committed to pursuing follow-up investigations Providers need to be experienced with principles of screening and management of small lung nodules

33 Counseling Patients about Lung Cancer Screening Benefit Reduce risk of dying from lung cancer in high-risk patients Limitations Will not detect all lung cancers Not all patients detected to have lung cancer will avoid death from lung cancer American Cancer Society

34 Counseling Patients about Lung Cancer Screening Potential Harms High likelihood of a false positive result May need serial imaging to monitor May require invasive procedures Cost Risk for complications Not always covered by insurance Smoking cessation Not an alternative to smoking cessation American Cancer Society

35 Summary Discuss smoking cessation every visit Identify high-risk patients Age pack-year smoking history Current smoker or quit within the last 15 years Refer high-risk patients to a Multidisciplinary Lung Cancer Screening Program Board- cer<fied radiologist Have or partner with a health center that has: Board- cer<fied pulmonologists Board- cer<fied thoracic surgeons Follows a proven protocol Accredited to do CT scans by a cer<fying organiza<on Has modern mul<- slice CT equipment that does high- quality, low- dose and non- contrast spiral CT Have or partner with a health center that has: Experience and excellence in biopsy methods 2011 Rising Tide 35

36 Screening Practices Breast Lung Colorectal Prostate 2011 Rising Tide 36

37 Colorectal Cancer Overview Colon Cancer Alliance. Statistics SEER Stat Fact Sheets: Colon and rectum cancer Rising Tide 37

38 Epidemiology SEER Database 2016

39 Epidemiology SEER Database 2016

40 Epidemiology SEER Database 2016

41 Epidemiology SEER Database 2016

42 Risks for Colorectal Cancer Increased risk Family history Age Lack of physical activity Decreased risk Multivitamins containing folic acid Aspirin and other NSAIDs Postmenopausal hormone use Consumption of red meat Obesity Cigarette smoking Calcium supplementation Selenium Fruits, vegetables and fiber Alcohol use Harvard Report on Cancer Prevention, Cancer Causes and Control 1999;10:167

43 UpToDate 2016

44 Colorectal Cancer Screening Guidelines Average Risk (USPSTF) AGE 50-75: Regular screening AGE 76-84: Recommends against screening, moderate certainty that the net benefits of screening are small AGE 85+: Recommends against screening, moderate certainty that the benefits of screening do not outweigh the harms Asymptomatic African American men and women are recommended to start screening earlier ACS/US Multi-Society/ACR: 40 years ACG: 45 years USPSTF. Colorectal Cancer: Screening Rising Tide 44

45 Colorectal Cancer Screening Guidelines PREFERRED: Colonoscopy every 10 years Other tests : USPSTF APPROVED: Annual high-sensitivity fecal occult blood testing USPSTF APPROVED: Sigmoidoscopy every 5 years combined with highsensitivity fecal occult blood testing every 3 years Double-contrast barium enema every 5 years Computed tomographic (CT) colonography every 5 years Annual guaiac-based fecal occult blood test with high sensitivity for cancer Annual fecal immunochemical test (FIT) with high test sensitivity for cancer Stool DNA test with high sensitivity for cancer, interval uncertain American Cancer Society recommendations for colorectal cancer early detection Rising Tide 45

46 ACG Screening Guidelines for Colorectal Cancer Preferred CRC screening recommendations Cancer prevention tests should be offered first. The preferred CRC prevention test is colonoscopy every 10 years, beginning at age 50 (Grade 1 B) Screening should begin at age 45 years in African Americans (Grade 2 C) Cancer detection test. This test should be offered to patients who decline colonoscopy or another cancer prevention test. The preferred cancer detection test is annual FIT for blood (Grade 1 B) Alternative CRC prevention tests Flexible sigmoidoscopy every 5-10 years (Grade 2 B) CT colonography every 5 years (Grade 1 C) Alternative cancer detection tests Annual Hemoccult Sensa (Grade 1 B) Fecal DNA testing every 3 years (Grade 2 B) Rex DK, Johnson DA, Anderson JC, et al. American College of Gastroenterology Am J Gastroenterol. 2009;104: Rising Tide 46

47 Updates in ACG Screening Guidelines for Colorectal Cancer 1. Screening tests are divided into cancer prevention and cancer detection tests. Cancer prevention tests are preferred over detection tests. 2. Screening is recommended in African Americans beginning at age 45 years. 3. CT colonography every 5 years replaces double contrast barium enema as the radiographic screening alternative, when patients decline colonoscopy. 4. FIT replaces older guaiac-based fecal occult blood testing. FIT is the preferred cancer detection test. 5. Annual Hemoccult Sensa and fecal DNA testing every 3 years are alternative cancer detection tests. 6. A family history of only small tubular adenomas in first-degree relatives is not considered to increase the risk of CRC. 7. Individuals with a single first-degree relative with CRC or advanced adenomas diagnosed at age 60 years can be screened like average-risk persons. CT, computed tomography; FIT, fecal immunochemical test Rex DK, Johnson DA, Anderson JC, et al. American College of Gastroenterology Am J Gastroenterol. 2009;104: Rising Tide 47

48 Identifying High Risk Patients Personal history of: Colorectal cancer or adenomatous polyps Inflammatory bowel disease (ulcerative colitis or Crohn s disease) Family history of: Colorectal cancer or adenomatous polyps Hereditary colorectal cancer syndrome (i.e. FAP or Lynch syndrome) ACS. CRC Risk Factors cancer/colonandrectumcancer/detailedguide/ colorectal-cancer-risk-factors 2011 Rising Tide 48

49 ACG Screening Guidelines for High Risk Patients Recommendations for screening when family history is positive but evaluation for HNPCC considered not indicated: Single first-degree relative with CRC or advanced adenoma diagnosed at age >=60 years Recommended screening: same as average risk (Grade 2 B) Single first-degree with CRC or advanced adenoma diagnosed at age <60 years or two first-degree relatives with CRC or advanced adenomas. Recommended screening: colonoscopy every 5 years beginning at age 40 years or 10 years younger than age at diagnosis of the youngest affected relative (Grade 2 B) Rex DK, Johnson DA, Anderson JC, et al. American College of Gastroenterology Am J Gastroenterol. 2009;104: Rising Tide 49

50 Summary Consensus around screening average risk patients Age 50+ Colonoscopy preferred test Frequency: every 10 years Start screening earlier and more frequently for high-risk patients Refer to Gastroenterologist 2011 Rising Tide 50

51 Screening Practices Breast Lung Colorectal Prostate 2011 Rising Tide 51

52 Leading Sites of New Cancer Cases and Deaths: 2016 Estimates ACS. Cancer Facts & Figures hvp://bit.ly/1shgj3r 2011 Rising Tide 52

53 Cancer Death Rates - Males

54 Epidemiology SEER Database 2016

55 Lifetime Risk American male Lifetime risk of developing prostate cancer is 16% Risk of dying from prostate cancer is 2.9% Detected in 30% of men by age 55 Detected in 60% of men by age 80 Int J Cancer Oct;137(7):

56 Natural History These data suggest prostate cancer often grows so slowly that most men die of other causes before the disease becomes clinically advanced

57 Epidemiology SEER database accessed July 2016

58 Epidemiology SEER Database 2016

59 Epidemiology SEER Database 2016

60 Epidemiology *PSA was used for screening in early 1990s SEER Database 2016

61 N Engl J Med 2016; 375:

62 Methods Recruited men ages 50 to 69 years of age in U.K. 82,429 men from 1999 to 2009 had a PSA test 2,664 diagnosed with localized prostate cancer 1,643 underwent randomization Active monitoring (545) Radical prostatectomy (553) Radiotherapy (545) N Engl J Med 2016; 375:

63 Patient Characteristics Median age was 62 Median PSA was 4.6 ng/ml 77% had Gleason 6 tumors 76% had stage T1c disease N Engl J Med 2016; 375:

64 N Engl J Med 2016; 375:

65 Results Active monitoring were more likely to have metastatic disease N Engl J Med 2016; 375:

66 Results N Engl J Med 2016; 375:

67 Deaths 8 of 545 men assigned to active monitoring 5 of 553 men assigned to surgery 4 of 545 men assigned to radiotherapy N Engl J Med 2016; 375:

68 Comments PSA monitoring, compared to treatment of early prostate cancer, leads to increased metastasis No significant difference in death due to prostate cancer with surgery vs. radiation for low-risk or intermediate-risk patients N Engl J Med 2016; 375:

69 Identifying High Risk Patients African American Family history Patients with one or more first-degree relative diagnosed with prostate cancer earlier than age 65 Inherited gene mutations BRCA1 and BRCA2 Lynch Syndrome 2011 Rising Tide 69

70 PSA or no PSA? May 2012: USPSTF recommends AGAINST prostate-specific antigen (PSA)-based screening for prostate cancer As of December 2016, USPSTF update in progress More information: Document/UpdateSummaryDraft/prostate-cancerscreening1 USPSTF Rising Tide 70

71 Summary Most urologists have not stopped utilizing the PSA AGE 40: Set baseline, then test every few years AGE 50: Annual PSA testing Focus on the trajectory more than the single PSA values 2011 Rising Tide 71

72 Summary Some cancers can be prevented It is important to identify high risk populations Early detection can lead to improved patient outcomes! 2011 Rising Tide 72

73 Questions? 2011 Rising Tide 73

Joint Session with ACOFP and Cancer Treatment Centers of America (CTCA): Cancer Screening: Consensus & Controversies. Ashish Sangal, M.D.

Joint Session with ACOFP and Cancer Treatment Centers of America (CTCA): Cancer Screening: Consensus & Controversies. Ashish Sangal, M.D. Joint Session with ACOFP and Cancer Treatment Centers of America (CTCA): Cancer Screening: Consensus & Controversies Ashish Sangal, M.D. Cancer Screening: Consensus & Controversies Ashish Sangal, MD Director,

More information

Page 1. Cancer Screening for Women I have no conflicts of interest. Overview. Breast, Colon, and Lung Cancer. Jeffrey A.

Page 1. Cancer Screening for Women I have no conflicts of interest. Overview. Breast, Colon, and Lung Cancer. Jeffrey A. Cancer Screening for Women 2017 Breast, Colon, and Lung Cancer Jeffrey A. Tice, MD Professor of Medicine Division of General Internal Medicine University of California, San Francisco I have no conflicts

More information

Page 1. Selected Controversies. Cancer Screening! Selected Controversies. Breast Cancer Screening. ! Using Best Evidence to Guide Practice!

Page 1. Selected Controversies. Cancer Screening! Selected Controversies. Breast Cancer Screening. ! Using Best Evidence to Guide Practice! Cancer Screening!! Using Best Evidence to Guide Practice! Judith M.E. Walsh, MD, MPH! Division of General Internal Medicine! Womenʼs Health Center of Excellence University of California, San Francisco!

More information

Updates In Cancer Screening: Navigating a Changing Landscape

Updates In Cancer Screening: Navigating a Changing Landscape Updates In Cancer Screening: Navigating a Changing Landscape Niharika Dixit, MD I have no conflict of interest. 1 Why Should You Care Trends in Cancer Incidence by Site United States. Siegal Et al: CA

More information

2017 CANCER ANNUAL REPORT

2017 CANCER ANNUAL REPORT 2017 CANCER ANNUAL REPORT A WORD FROM OUR LEADERSHIP We are pleased to present our 2017 Annual Report highlighting advances in state of the art cancer care at the Roper St. Francis Cancer Program. Our

More information

Selected Controversies. Cancer Screening. Breast Cancer Screening. Selected Controversies. Page 1. Using Best Evidence to Guide Practice

Selected Controversies. Cancer Screening. Breast Cancer Screening. Selected Controversies. Page 1. Using Best Evidence to Guide Practice Cancer Screening Using Best Evidence to Guide Practice Judith M.E. Walsh, MD, MH Division of General Internal Medicine Women s Health Center of Excellence University of California, San Francisco Selected

More information

Wellness Along the Cancer Journey: Healthy Habits and Cancer Screening Revised October 2015 Chapter 7: Cancer Screening and Early Detection of Cancer

Wellness Along the Cancer Journey: Healthy Habits and Cancer Screening Revised October 2015 Chapter 7: Cancer Screening and Early Detection of Cancer Wellness Along the Cancer Journey: Healthy Habits and Cancer Screening Revised October 2015 Chapter 7: Cancer Screening and Early Detection of Cancer Healthy Habits and Cancer Screening Rev 10.20.15 Page

More information

Evidence-based Cancer Screening & Surveillance

Evidence-based Cancer Screening & Surveillance Oncology for Scientists Spring 2014 Evidence-based Cancer Screening & Surveillance Martin C. Mahoney, MD, PhD, FAAFP Departments of Medicine & Health Behavior /Oncology_Feb 2014.ppt 1 Objectives: Principles

More information

Guidelines for the Early Detection of Cancer

Guidelines for the Early Detection of Cancer Guidelines for the Early Detection of Cancer The American Cancer Society recommends these cancer screening guidelines for most adults. Screening tests are used to find cancer before a person has any symptoms.

More information

CLINICAL PRACTICE GUIDELINE FOR COLORECTAL CANCER SCREENING

CLINICAL PRACTICE GUIDELINE FOR COLORECTAL CANCER SCREENING CLINICAL PRACTICE GUIDELINE FOR COLORECTAL CANCER SCREENING This guideline is designed to assist practitioners by providing the framework for colorectal cancer (CRC) screening, and is not intended to replace

More information

Colorectal Cancer: Preventable, Beatable, Treatable. American Cancer Society

Colorectal Cancer: Preventable, Beatable, Treatable. American Cancer Society Colorectal Cancer: Preventable, Beatable, Treatable American Cancer Society Reviewed/Revised May 2018 What we ll be talking about How common is colorectal cancer? What is colorectal cancer? What causes

More information

Nicolaus Copernicus University in Torun Medical College in Bydgoszcz Family Doctor Department CANCER PREVENTION IN GENERAL PRACTICE

Nicolaus Copernicus University in Torun Medical College in Bydgoszcz Family Doctor Department CANCER PREVENTION IN GENERAL PRACTICE Nicolaus Copernicus University in Torun Medical College in Bydgoszcz Family Doctor Department CANCER PREVENTION IN GENERAL PRACTICE A key mission for family medicine is preserving health and maximizing

More information

ACG Clinical Guideline: Colorectal Cancer Screening

ACG Clinical Guideline: Colorectal Cancer Screening ACG Clinical Guideline: Colorectal Cancer Screening Douglas K. Rex, MD, FACG 1, David A. Johnson, MD, FACG 2, Joseph C. Anderson, MD 3, Phillip S. Schoenfeld, MD, MSEd, MSc (Epi), FACG 4, Carol A. Burke,

More information

Page 1. Controversies in Cancer Prevention and Screening. Disclosures. Screening. Principles of Screening. I have no conflicts of interest

Page 1. Controversies in Cancer Prevention and Screening. Disclosures. Screening. Principles of Screening. I have no conflicts of interest Controversies in Cancer Prevention and Screening Disclosures Using the Best Evidence in 2015 I have no conflicts of interest Judith M.E. Walsh, MD, MPH Division of General Internal Medicine Women s Health

More information

Cancer Screening I have no conflicts of interest. Principles of screening. Cancer in the World Page 1. Letting Evidence Be Our Guide

Cancer Screening I have no conflicts of interest. Principles of screening. Cancer in the World Page 1. Letting Evidence Be Our Guide Cancer Screening 2012 Letting Evidence Be Our Guide Jeffrey A. Tice, MD Division of General Internal Medicine University of California, San Francisco I have no conflicts of interest Principles of screening

More information

Colorectal Cancer Screening. Dr Kishor Muniyappa 2626 Care Drive, Suite 101 Tallahassee, FL Ph:

Colorectal Cancer Screening. Dr Kishor Muniyappa 2626 Care Drive, Suite 101 Tallahassee, FL Ph: Colorectal Cancer Screening Dr Kishor Muniyappa 2626 Care Drive, Suite 101 Tallahassee, FL 32308 Ph: 850-297-0351 What we ll be talking about How common is colorectal cancer? What is colorectal cancer?

More information

Cancer Screening & Prevention. Dr. Jamey Burton, MD, FAAFP

Cancer Screening & Prevention. Dr. Jamey Burton, MD, FAAFP Cancer Screening & Prevention Dr. Jamey Burton, MD, FAAFP Cervical Cancer Breast Cancer Colon Cancer Prostate Cancer Lung Cancer How common is cervical cancer? What causes it? What screening is needed?

More information

Cancer Screening 2009: New Tests, New Choices

Cancer Screening 2009: New Tests, New Choices Objectives Cancer Screening 2009: New Tests, New Choices UCSF Annual Review in Family Medicine April 21, 2009 Michael B. Potter, MD Professor, Clinical Family and Community Medicine UCSF School of Medicine

More information

Objectives. Definitions. Colorectal Cancer Screening 5/8/2018. Payam Afshar, MS, MD Kaiser Permanente, San Diego. Colorectal cancer background

Objectives. Definitions. Colorectal Cancer Screening 5/8/2018. Payam Afshar, MS, MD Kaiser Permanente, San Diego. Colorectal cancer background Colorectal Cancer Screening Payam Afshar, MS, MD Kaiser Permanente, San Diego Objectives Colorectal cancer background Colorectal cancer screening populations Colorectal cancer screening modalities Colonoscopy

More information

CANCER SCREENING. Er Chaozer Department of General Medicine, Tan Tock Seng Hospital

CANCER SCREENING. Er Chaozer Department of General Medicine, Tan Tock Seng Hospital CANCER SCREENING Er Chaozer Department of General Medicine, Tan Tock Seng Hospital Introduction Screening average risk patients Benefits and harms from screening Early cancer detection early treatment

More information

2. Describe pros/cons of screening interventions (including colonoscopy, CT colography, fecal tests)

2. Describe pros/cons of screening interventions (including colonoscopy, CT colography, fecal tests) Learning Objectives 1. Review principles of colon adenoma/cancer biology that permit successful prevention regimes 2. Describe pros/cons of screening interventions (including colonoscopy, CT colography,

More information

Screening and Detection in Cancer Survivors. Jose W. Avitia, MD Oncology/Hematology

Screening and Detection in Cancer Survivors. Jose W. Avitia, MD Oncology/Hematology Screening and Detection in Cancer Survivors Jose W. Avitia, MD Oncology/Hematology Breast Cancer Summary of 2012 ASCO guideline recommendations for surveillance after breast cancer treatment History/physical

More information

A Trip Through the GI Tract: Common GI Diseases and Complaints. Jennifer Curtis, MD

A Trip Through the GI Tract: Common GI Diseases and Complaints. Jennifer Curtis, MD A Trip Through the GI Tract: Common GI Diseases and Complaints Jennifer Curtis, MD Colon Cancer How does it develop? Most cancers arise from polyps Over time these can turn into cancer Combination of genetic

More information

Cancer Facts for Women

Cancer Facts for Women Cancer Facts for Women Some of the cancers that most often affect women are breast, colorectal, endometrial, lung, cervical, skin, and ovarian cancers. Knowing about these cancers and what you can do to

More information

This is the portion of the intestine which lies between the small intestine and the outlet (Anus).

This is the portion of the intestine which lies between the small intestine and the outlet (Anus). THE COLON This is the portion of the intestine which lies between the small intestine and the outlet (Anus). 3 4 5 This part is responsible for formation of stool. The large intestine (colon- coloured

More information

Caring for a Patient with Colorectal Cancer. Objectives. Poll question. UNC Cancer Network Presented on 10/15/18. For Educational Use Only 1

Caring for a Patient with Colorectal Cancer. Objectives. Poll question. UNC Cancer Network Presented on 10/15/18. For Educational Use Only 1 Caring for a Patient with Colorectal Cancer Tammy Triglianos RN, APRN-BC, AOCNP Nurse Practitioner, GI Oncology 10/15/2018 Objectives Describe common signs and symptoms of colorectal cancer Understand

More information

Lung Cancer Screening. Eric S. Papierniak, DO NF/SG VHA UF Health

Lung Cancer Screening. Eric S. Papierniak, DO NF/SG VHA UF Health Lung Cancer Screening Eric S. Papierniak, DO NF/SG VHA UF Health Overview Background Supporting evidence Guidelines Practical considerations Patient selection What to do with abnormal results Billing/coding

More information

Colon Cancer Screening and Surveillance. Louis V. Antignano, M.D. Wilson Gastroenterology October 11, 2011

Colon Cancer Screening and Surveillance. Louis V. Antignano, M.D. Wilson Gastroenterology October 11, 2011 Colon Cancer Screening and Surveillance Louis V. Antignano, M.D. Wilson Gastroenterology October 11, 2011 Colorectal Cancer Preventable cancer Number 2 cancer killer in the USA Often curable if detected

More information

CRC Risk Factors. U.S. Adherence Rates Cancer Screening. Genetic Model of Colorectal Cancer. Epidemiology and Clinical Consequences of CRC

CRC Risk Factors. U.S. Adherence Rates Cancer Screening. Genetic Model of Colorectal Cancer. Epidemiology and Clinical Consequences of CRC 10:45 11:45 am Guide to Colorectal Cancer Screening SPEAKER Howard Manten M.D. Presenter Disclosure Information The following relationships exist related to this presentation: Howard Manten MD: No financial

More information

Disclosures. Cancer Screening for Women. Topics for today. But what about? What works? What doesn t? I have no conflicts of interest

Disclosures. Cancer Screening for Women. Topics for today. But what about? What works? What doesn t? I have no conflicts of interest Cancer Screening for Women Disclosures What works? What doesn t? I have no conflicts of interest Judith M.E. Walsh, MD, MPH Division of General Internal Medicine Women s Health Center of Excellence University

More information

Cancer Screening 2009: Setting Evidence-based Priorities

Cancer Screening 2009: Setting Evidence-based Priorities Cancer Screening 2009: Setting Evidence-based Priorities Eliseo J. Pérez-Stable, MD Professor of Medicine Department of Medicine Division of General Internal Medicine University of California, San Francisco

More information

Colorectal Cancer Screening. Paul Berg MD

Colorectal Cancer Screening. Paul Berg MD Colorectal Cancer Screening Paul Berg MD What is clinical integration? AMA Definition The means to facilitate the coordination of patient care across conditions, providers, settings, and time in order

More information

Early detection and screening for colorectal neoplasia

Early detection and screening for colorectal neoplasia Early detection and screening for colorectal neoplasia Robert S. Bresalier Department of Gastroenterology, Hepatology and Nutrition. The University of Texas. MD Anderson Cancer Center. Houston, Texas U.S.A.

More information

1101 First Colonial Road, Suite 300, Virginia Beach, VA Phone (757) Fax (757)

1101 First Colonial Road, Suite 300, Virginia Beach, VA Phone (757) Fax (757) 1101 First Colonial Road, Suite 300, Virginia Beach, VA 23454 www.vbgastro.com Phone (757) 481-4817 Fax (757) 481-7138 1150 Glen Mitchell Drive, Suite 208 Virginia Beach, VA 23456 www.vbgastro.com Phone

More information

Colon, or Colorectal, Cancer Information

Colon, or Colorectal, Cancer Information Colon, or Colorectal, Cancer Information Definition Colon, or colorectal, cancer is cancer that starts in the large intestine (colon) or the rectum (end of the colon). Other types of cancer can affect

More information

Improving Outcomes in Colorectal Cancer: The Science of Screening. Colorectal Cancer (CRC)

Improving Outcomes in Colorectal Cancer: The Science of Screening. Colorectal Cancer (CRC) Improving Outcomes in Colorectal Cancer: The Science of Screening Tennessee Primary Care Association October 23, 2014 Durado Brooks, MD, MPH Director, Prostate and Colorectal Cancers Colorectal Cancer

More information

Updates in Colorectal Cancer Screening & Prevention

Updates in Colorectal Cancer Screening & Prevention Updates in Colorectal Cancer Screening & Prevention Swati G. Patel, MD MS Assistant Professor of Medicine Division of Gastroenterology & Hepatology Gastrointestinal Cancer Risk and Prevention Clinic University

More information

Menopause and Cancer risk; What to do overcome the risks? Fatih DURMUŞOĞLU,M.D

Menopause and Cancer risk; What to do overcome the risks? Fatih DURMUŞOĞLU,M.D Menopause and Cancer risk; What to do overcome the risks? Fatih DURMUŞOĞLU,M.D Menopause and Cancer How does menopause affect a woman s cancer risk? Ø Menopause does not cause cancer.but risk of developing

More information

Cancer Facts for Men FOR REVIEW ONLY

Cancer Facts for Men FOR REVIEW ONLY Cancer Facts for Men Prostate cancer The chance of getting prostate cancer goes up as a man gets older. Most prostate cancers are found in men over the age of 65. For reasons that are still unknown, African

More information

Colorectal Cancer Screening Guideline Issue Brief Updated May 30 th, 2018

Colorectal Cancer Screening Guideline Issue Brief Updated May 30 th, 2018 Colorectal Cancer Screening Guideline Issue Brief Updated May 30 th, 2018 Issue Summary The American Cancer Society has updated its colorectal screening guideline, which have been published in CA: A Journal

More information

Screening & Surveillance Guidelines

Screening & Surveillance Guidelines Chapter 2 Screening & Surveillance Guidelines I. Eligibility Coloradans ages 50 and older (average risk) or under 50 at elevated risk for colon cancer (personal or family history) that meet the following

More information

Decoding the USPSTF. By: Dr Vikram Arora Heritage Valley Health System

Decoding the USPSTF. By: Dr Vikram Arora Heritage Valley Health System Decoding the USPSTF By: Dr Vikram Arora Heritage Valley Health System Objectives O Gain insight into function of USPSTF O Review grading system O Critically appraise key current recommendations of the

More information

Screening for Breast Cancer

Screening for Breast Cancer Understanding Task Force Recommendations Screening for Breast Cancer U.S. Preventive Services Task Force (Task Force) has issued a final recommendation statement on Screening for Breast Cancer. se final

More information

Cancer Prevention and Early Detection Worksheet for Men

Cancer Prevention and Early Detection Worksheet for Men Page 1 of 5 Cancer Prevention and Early Detection Worksheet for Men While a tremendous amount of progress has been made in cancer research, we still don t understand exactly what causes most cancers. However,

More information

Financial Disclosers

Financial Disclosers Slide 1 Colorectal Cancer Screening Jason Hemming, MD NESGNA November 15, 2014 Slide 2 Bio Slide 3 Financial Disclosers I have no actual or potential conflict of interest relation to this presentation

More information

Grand Rounds. Des Moines University. May 5, Durado Brooks, MD, MPH Director, Cancer Control Intervention American Cancer Society

Grand Rounds. Des Moines University. May 5, Durado Brooks, MD, MPH Director, Cancer Control Intervention American Cancer Society Grand Rounds Des Moines University May 5, 2016 Durado Brooks, MD, MPH Director, Cancer Control Intervention American Cancer Society Case Summary Mrs. J is a 56 y o w female complaining of always tired;

More information

CENTERS FOR DISEASE CONTROL AND PREVENTION CENTERS FOR DISEASE CONTROL AND PREVENTION. Incidence Male. Incidence Female.

CENTERS FOR DISEASE CONTROL AND PREVENTION CENTERS FOR DISEASE CONTROL AND PREVENTION. Incidence Male. Incidence Female. A Call to Action: Prevention and Early Detection of Colorectal Cancer (CRC) 5 Key Messages Screening reduces mortality from CRC All persons aged 50 years and older should begin regular screening High-risk

More information

Cologuard Screening for Colorectal Cancer

Cologuard Screening for Colorectal Cancer Pending Policies - Medicine Cologuard Screening for Colorectal Cancer Print Number: MED208.056 Effective Date: 08-15-2016 Coverage: I.Cologuard stool DNA testing may be considered medically necessary for

More information

Lung Cancer Screening

Lung Cancer Screening Scan for mobile link. Lung Cancer Screening What is lung cancer screening? Screening examinations are tests performed to find disease before symptoms begin. The goal of screening is to detect disease at

More information

The New Grade A: USPSTF Updated Colorectal Cancer Screening Guidelines, What does it all mean?

The New Grade A: USPSTF Updated Colorectal Cancer Screening Guidelines, What does it all mean? The New Grade A: USPSTF Updated Colorectal Cancer Screening Guidelines, What does it all mean? Robert A. Smith, PhD Cancer Control, Department of Prevention and Early Detection American Cancer Society

More information

LET S TALK ABOUT CANCER

LET S TALK ABOUT CANCER LET S TALK ABOUT CANCER COLORECTAL CANCER AND CROHN S DISEASE & ULCERATIVE COLITIS crohnsandcolitis.ca BACKGROUND Colorectal cancer is the second-leading cause of cancer death in this country. In 2013,

More information

IEHP UM Subcommittee Approved Authorization Guidelines Colorectal Cancer Screening with Cologuard TM for Medicare Beneficiaries

IEHP UM Subcommittee Approved Authorization Guidelines Colorectal Cancer Screening with Cologuard TM for Medicare Beneficiaries for Medicare Beneficiaries Policy: Based on our review of the available evidence, the IEHP UM Subcommittee adopts the use of Cologuard TM - a multi-target stool DNA test as a colorectal cancer screening

More information

Colorectal Cancer Screening Paul Traficanti DO, FACOEP

Colorectal Cancer Screening Paul Traficanti DO, FACOEP Health Partners Plans Colorectal Cancer Screening Paul Traficanti DO, FACOEP Colorectal Cancer Centers for Disease Control (CDC) Of cancers that affect both men and women, colorectal cancer is the second

More information

Guidelines for Breast, Cervical and Colorectal Cancer Screening

Guidelines for Breast, Cervical and Colorectal Cancer Screening Guidelines for Breast, Cervical and Colorectal Cancer Screening Your recommendation counts. Talk to your patients about screening for cancer. CancerCare Manitoba provides organized, population-based screening

More information

A senior s guide for preventative healthcare services Ynolde F. Smith D.O.

A senior s guide for preventative healthcare services Ynolde F. Smith D.O. A senior s guide for preventative healthcare services Ynolde F. Smith D.O. What can we do to prevent disease? Exercise Eating Well Keep a healthy weight Injury prevention Mental Health Social issues (care

More information

Razvan I. Arsenescu, MD Assistant Professor of Medicine Division of Digestive Diseases EARLY DETECTION OF COLORECTAL CANCER

Razvan I. Arsenescu, MD Assistant Professor of Medicine Division of Digestive Diseases EARLY DETECTION OF COLORECTAL CANCER Razvan I. Arsenescu, MD Assistant Professor of Medicine Division of Digestive Diseases EARLY DETECTION OF COLORECTAL CANCER Epidemiology of CRC Colorectal cancer (CRC) is a common and lethal disease Environmental

More information

2019 Adult Preventive Health Guidelines

2019 Adult Preventive Health Guidelines 1 2019 Adult Preventive Health Guidelines Important Note Health Net s Preventive Health Guidelines provide Health Net members and practitioners with recommendations for preventive care services for the

More information

ONCOLOGY OUTCOMES REPORT

ONCOLOGY OUTCOMES REPORT 2017 EVANGELICAL COMMUNITY HOSPITAL ONCOLOGY OUTCOMES REPORT One Hospital Drive, Lewisburg, PA 17837 570-522-2000 evanhospital.com Cancer Screening The Commission on Cancer requires annual dissemination

More information

EARLY DETECTION OF COLORECTAL CANCER. Epidemiology of CRC

EARLY DETECTION OF COLORECTAL CANCER. Epidemiology of CRC Razvan I. Arsenescu, MD Assistant Professor of Medicine Division of Digestive Diseases EARLY DETECTION OF COLORECTAL CANCER Epidemiology of CRC Colorectal cancer (CRC) is a common and lethal disease Environmental

More information

Colorectal Cancer Screening

Colorectal Cancer Screening Tool 2.1 Cancer Screening Basic Fact Sheet Are You at High Risk? Your risk for colorectal cancer may be higher than average if: stomach You or a close relative have had colorectal polyps or colorectal

More information

Lung Cancer Screening

Lung Cancer Screening Scan for mobile link. Lung Cancer Screening What is lung cancer screening? Screening examinations are tests performed to find disease before symptoms begin. The goal of screening is to detect disease at

More information

Increasing Colorectal Cancer Screening in Wyoming. Allie Bain, MPH Outreach & Education Supervisor Wyoming Integrated Cancer Services Program

Increasing Colorectal Cancer Screening in Wyoming. Allie Bain, MPH Outreach & Education Supervisor Wyoming Integrated Cancer Services Program Increasing Colorectal Cancer Screening in Wyoming Allie Bain, MPH Outreach & Education Supervisor Wyoming Integrated Cancer Services Program Overview What is colorectal cancer? What are risk factors for

More information

Colon Cancer Screening & Surveillance. Amit Patel, MD PGY-4 GI Fellow

Colon Cancer Screening & Surveillance. Amit Patel, MD PGY-4 GI Fellow Colon Cancer Screening & Surveillance Amit Patel, MD PGY-4 GI Fellow Epidemiology CRC incidence and mortality rates vary markedly around the world. Globally, CRC is the third most commonly diagnosed cancer

More information

2018 Community Outreach Report

2018 Community Outreach Report 4.1 Prevention Program Lung Cancer Prevention 2018 Community Outreach Report The focus on prevention of lung cancer was chosen by the Cancer Committee because lung cancer is the leading cause of death

More information

Colorectal Cancer Screening

Colorectal Cancer Screening Colorectal Cancer Screening December 5, 2017 Connecticut Cancer Partnership 14th Annual Meeting Xavier Llor, M.D., PhD. Associate Professor of Medicine Co-Director, Cancer Genetics and Prevention Program

More information

Let s look a minute at the evidence supporting current cancer screening recommendations.

Let s look a minute at the evidence supporting current cancer screening recommendations. I m Dr. Therese Bevers, Medical Director of the Cancer Prevention Center and Professor of Clinical Cancer Prevention at The University of Texas MD Anderson Cancer Center. Today s lecture is on screening

More information

Prostate cancer was the most commonly diagnosed type of cancer among Peel and Ontario male seniors in 2002.

Prostate cancer was the most commonly diagnosed type of cancer among Peel and Ontario male seniors in 2002. Cancer HIGHLIGHTS Prostate, colorectal, and lung cancers accounted for almost half of all newly diagnosed cancers among Peel seniors in 22. The incidence rates of lung cancer in Ontario and Peel have decreased

More information

Recommendations on Screening for Colorectal Cancer 2016

Recommendations on Screening for Colorectal Cancer 2016 Recommendations on Screening for Colorectal Cancer 2016 Canadian Task Force on Preventive Health Care (CTFPHC) Putting Prevention into Practice Canadian Task Force on Preventive Health Care Groupe d étude

More information

Chapter 7 Section 2.2. Clinical Preventive Services - TRICARE Prime

Chapter 7 Section 2.2. Clinical Preventive Services - TRICARE Prime Medicine Chapter 7 Section 2.2 Issue Date: May 15, 1996 Authority: 32 CFR 199.17 1.0 POLICY 1.1 TRICARE Prime enrollees may receive Prime Clinical Preventive Services from any network provider without

More information

Colorectal Cancer Screening

Colorectal Cancer Screening Scan for mobile link. Colorectal Cancer Screening What is colorectal cancer screening? Screening examinations are tests performed to identify disease in individuals who lack any signs or symptoms. The

More information

COLORECTAL CANCER. Colorectal Cancer (CRC) 3 rd most common cancer in U.S. 3 rd deadliest cancer in U.S. 12/4/2014

COLORECTAL CANCER. Colorectal Cancer (CRC) 3 rd most common cancer in U.S. 3 rd deadliest cancer in U.S. 12/4/2014 The heart and science of medicine. UVMHealth.org/CancerCenter COLORECTAL CANCER Claire Verschraegen, MD Co-Director University of Vermont Cancer Center 1 Colorectal Cancer (CRC) 3 rd most common cancer

More information

GI CANCER SCREENING- Is It Worth It? Sylvia M. Oats, MSN, APRN, ANP-BC Susan H. Miedecke, MSN, APRN, FNP-BC Gastroenterology Clinic of Acadiana

GI CANCER SCREENING- Is It Worth It? Sylvia M. Oats, MSN, APRN, ANP-BC Susan H. Miedecke, MSN, APRN, FNP-BC Gastroenterology Clinic of Acadiana GI CANCER SCREENING- Is It Worth It? Sylvia M. Oats, MSN, APRN, ANP-BC Susan H. Miedecke, MSN, APRN, FNP-BC Gastroenterology Clinic of Acadiana Life is a sexually transmitted disease, and the mortality

More information

By: Tania Cortas, MD Arizona Oncology 03/10/2015

By: Tania Cortas, MD Arizona Oncology 03/10/2015 By: Tania Cortas, MD Arizona Oncology 03/10/2015 Epidemiology In the United States, CRC incidence rates have declined about 2 to 3 percent per year over the last 15 years Death rates from CRC have declined

More information

Preventive Health Guidelines

Preventive Health Guidelines Preventive Health Guidelines Guide to Clinical Preventive Services Adult LifeWise has adopted the United States Preventive Services Task Force (USPSTF) Guide to Clinical Preventive Services. The guideline

More information

Untangling the Confusion: Multiple Breast Cancer Screening Guidelines and the Ones We Should Follow

Untangling the Confusion: Multiple Breast Cancer Screening Guidelines and the Ones We Should Follow Untangling the Confusion: Multiple Breast Cancer Screening Guidelines and the Ones We Should Follow Debra A. Walz, RN, MS, AOCNP, WHNP-BC, RNFA Advanced Oncology & Women s Health Nurse Practitioner Oneida

More information

Disclosures. Overview. Selection the most accurate statement: Updates in Lung Cancer Screening 5/26/17. No Financial Disclosures

Disclosures. Overview. Selection the most accurate statement: Updates in Lung Cancer Screening 5/26/17. No Financial Disclosures Updates in Lung Cancer Screening Disclosures No Financial Disclosures Neil Trivedi, MD Associate Professor of Clinical Medicine SF VAMC Pulmonary and Critical Care Director, Bronchoscopy & Interventional

More information

guide to living with cancer Brought to you by Alliance Health.

guide to living with cancer Brought to you by Alliance Health. guide to living with cancer Brought to you by Alliance Health. The content in this guide is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice

More information

Medicare Preventive Services Calendar. Please punch hole to hang calendar

Medicare Preventive Services Calendar. Please punch hole to hang calendar 2016 Printer Medicare Preventive Services Calendar instructions: Please punch hole to hang calendar Welcome to Medicare Visit During the first 12 months that you have Part B, you can get a Welcome to Medicare

More information

Bowel cancer screening and prevention

Bowel cancer screening and prevention Bowel cancer screening and prevention Cancer Incidence and Mortality Victoria 2012 Number 6000 5000 4000 3000 2000 Incidences = 29,387 Mortality = 10,780 Incidence Mortality 1000 0 Prostate Breast Bowel

More information

2010 Adult Preventive Schedule: Ages 19 through 64 Years

2010 Adult Preventive Schedule: Ages 19 through 64 Years : Ages 19 through 64 Years History and Physical History and Physical Exam Description A physical should be performed every one to two years for adults ages 19-49, and every year for adults ages 50 and

More information

What is Colorectal Cancer?

What is Colorectal Cancer? COLORECTAL CANCER (CRC) What is Colorectal Cancer? Colorectal cancer (also known as colon cancer) is cancer of the colon and/or rectum and occurs when a growth in the lining of the colon or rectum becomes

More information

Colon Screening in 2014 Offering Patients a Choice. Clark A Harrison MD The Nevada Colon Cancer Partnership

Colon Screening in 2014 Offering Patients a Choice. Clark A Harrison MD The Nevada Colon Cancer Partnership Colon Screening in 2014 Offering Patients a Choice Clark A Harrison MD The Nevada Colon Cancer Partnership Objectives 1. Understand the incidence and mortality rates for CRC in the US. 2. Understand risk

More information

Wellness Along the Cancer Journey: Cancer Types Revised October 2015 Chapter 4: Colorectal Cancer Overview

Wellness Along the Cancer Journey: Cancer Types Revised October 2015 Chapter 4: Colorectal Cancer Overview Wellness Along the Cancer Journey: Cancer Types Revised October 2015 Chapter 4: Colorectal Cancer Overview Cancer Types Rev. 10.20.15 Page 35 Colorectal Cancer Overview Group Discussion True False Not

More information

Chapter 7 Section 2.1. Clinical Preventive Services - TRICARE Standard

Chapter 7 Section 2.1. Clinical Preventive Services - TRICARE Standard Medicine Chapter 7 Section 2.1 Issue Date: April 19, 1983 Authority: 32 CFR 199.4(e)(28) and (f)(12), 10 USC 1079(a), Public Law 110-471, Section 711 1.0 CPT 1 PROCEDURE CODES 45300-45305, 45308-45315,

More information

CANCER SCREENING USPSTF AND BEYOND. DeAnn Cummings, MD March 9, 2019

CANCER SCREENING USPSTF AND BEYOND. DeAnn Cummings, MD March 9, 2019 CANCER SCREENING USPSTF AND BEYOND DeAnn Cummings, MD March 9, 2019 OBJECTIVES Review and discuss cancer screening guidelines for: Colorectal CA Prostate CA Breast CA Ovarian CA Secondary prevention, NOT

More information

GENERAL COLORECTAL CANCER INFORMATION. What is colorectal cancer?

GENERAL COLORECTAL CANCER INFORMATION. What is colorectal cancer? GENERAL COLORECTAL CANCER INFORMATION What is colorectal cancer? Colorectal cancer is cancer that develops in the colon or the rectum. The colon and rectum are parts of the digestive system, which is also

More information

Alabama Cancer Facts & Figures 2009

Alabama Cancer Facts & Figures 2009 Alabama Cancer Facts & Figures 2009 1.800.227.2345 cancer.org Have questions about cancer? Cancer information specialists are available 24 hours a day, 7 days a week. Call the American Cancer Society at

More information

State of Wyoming. Department of Health

State of Wyoming. Department of Health State of Wyoming Department of Health Colorectal Cancer in Wyoming: Issue Brief Thomas O. Forslund, Director March 2012 The Issue Brief of Colorectal Cancer in Wyoming is published by the Public Health

More information

CVIM s Cancer Screening Practices

CVIM s Cancer Screening Practices 12-13-17 Professional Practice Minutes CVIM s Cancer Screening Practices At CVIM, preventative health care is very important! In these minutes you will find a review of our recommendations for cancer screening

More information

The Challenge of Cancer Screening Part One Prostate Cancer and Lung Cancer Screening

The Challenge of Cancer Screening Part One Prostate Cancer and Lung Cancer Screening The Challenge of Cancer Screening Part One Prostate Cancer and Lung Cancer Screening The Challenge of Cancer Screening Part One Prostate Cancer and Lung Cancer Screening By Marsha Fountain, RN, MSN The

More information

CANCER SCREENING USPSTF AND BEYOND. DeAnn Cummings, MD March 3, 2018

CANCER SCREENING USPSTF AND BEYOND. DeAnn Cummings, MD March 3, 2018 CANCER SCREENING USPSTF AND BEYOND DeAnn Cummings, MD March 3, 2018 OBJECTIVES Review and discuss cancer screening guidelines for: Colorectal CA Prostate CA Breast CA Ovarian CA Secondary prevention, NOT

More information

Cancer in Women. Lung cancer. Breast cancer

Cancer in Women. Lung cancer. Breast cancer Cancer in Women You can get cancer at any age, but it is more likely as you get older. The types of cancer people get and the risk of dying from cancer are not the same for all ethnic groups. Here are

More information

Lung Cancer Screening: Current Status

Lung Cancer Screening: Current Status Lung Cancer Screening: Current Status I have no financial relationships, arrangements or affiliations and this presentation will not include discussion of investigational or off-label use of a product

More information

Breast Cancer Screening: Changing Philosophies in Educating Women and Teens

Breast Cancer Screening: Changing Philosophies in Educating Women and Teens Breast Cancer Screening: Changing Philosophies in Educating Women and Teens Courtney Benedict CNM MSN Disclosures Merck Nexplanon trainer Session Objectives Explain the rationale for initiation and frequency

More information

Oncology Clinical Program Update. William Sause Medical Director Oncology Clinical Program

Oncology Clinical Program Update. William Sause Medical Director Oncology Clinical Program Oncology Clinical Program Update William Sause Medical Director Oncology Clinical Program Outline Cancer Program Background Screening Quality Care New Technology Contact Information Cancer Cases Utah 2011

More information

PANEL DISCUSSION: SCREENING FOR LUNG CANCER. Anthony D Weaver MD

PANEL DISCUSSION: SCREENING FOR LUNG CANCER. Anthony D Weaver MD PANEL DISCUSSION: SCREENING FOR LUNG CANCER Anthony D Weaver MD Disclosures Anthony Weaver has no relationships to disclose. Thank God! A panel of experts! An Equal Opportunity University Objectives 1.

More information

What Questions Should You Ask?

What Questions Should You Ask? ? Your Doctor Has Ordered a Colonoscopy. What Questions Should You sk? From the merican College of Gastroenterology www.acg.gi.org Normal colon Is the doctor performing your colonoscopy a Gastroenterologist?

More information

Blue Star Sunday. Increasing Awareness About Colon Cancer. Dear Faith Community,

Blue Star Sunday. Increasing Awareness About Colon Cancer. Dear Faith Community, Blue Star Sunday Increasing Awareness About Colon Cancer Dear Faith Community, West Virginia s Cancer Coalition, Mountains of Hope, invites your faith community to participate in Colorectal Cancer Awareness

More information

LUNG CANCER SCREENING: LUNG CANCER SCREENING: THE TIME HAS COME LUNG CANCER: A NATIONAL EPIDEMIC

LUNG CANCER SCREENING: LUNG CANCER SCREENING: THE TIME HAS COME LUNG CANCER: A NATIONAL EPIDEMIC : THE TIME HAS COME Physician Leader, Lung Cancer Multi-Disciplinary Program Fletcher Allen Health Care Annual Meeting Montpelier, VT - April 25, 2014 Gerald S. Davis, MD Professor of Medicine University

More information

Colorectal Cancer Screening. Daniel C. Chung, MD GI Unit and GI Cancer Genetics Service Massachusetts General Hospital

Colorectal Cancer Screening. Daniel C. Chung, MD GI Unit and GI Cancer Genetics Service Massachusetts General Hospital Colorectal Cancer Screening Daniel C. Chung, MD GI Unit and GI Cancer Genetics Service Massachusetts General Hospital March, 2018 CRC Epidemiology 4th most common malignancy in US (136,000 cases/yr) 2nd

More information