SIGNS, SYMPTOMS AND SCREENING GUIDELINES

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Transcription:

SIGNS, SYMPTOMS AND SCREENING GUIDELINES

SIGNS AND SYMPTOMS You may think it s normal, but it could be a sign or symptom of an illness or cancer-related disease. If you are experiencing any of these signs or symptoms, contact your primary care provider to discuss whether testing is necessary. BREAST CANCER Painless lump in the breast Unusual increase in the size or shape of one breast Change in the texture of the skin of the breast Change in appearance of the nipple Unusual discharge CERVICAL CANCER Often no symptoms Abnormal vaginal bleeding or discharge COLORECTAL CANCER Change in bowel habits Rectal bleeding Blood in stool ESOPHAGEAL CANCER Difficult or painful swallowing Persistent cough Hoarse voice Prolonged heartburn Throat, chest or back pain Weight loss or loss of appetite LUNG CANCER Cough that doesn t go away or gets worse Chest pain that gets worse with deep breathing, coughing or laughing Shortness of breath PROSTATE CANCER Problems passing urine Blood in the urine SKIN CANCER Having a sore that does not heal Itchiness, tenderness or pain Changes in sensation Changes in the surface, color or size of a mole

ROUTINE SCREENING GUIDELINES BREAST CANCER (for average-risk individuals) Mammogram Clinical Breast Exam Self Breast Exam/ Breast Awareness > 25 - < 40 Every 1-3 years Yes > 40 Annual Annual Yes > 74 At the discretion of physician CERVICAL CANCER (for average-risk individuals) 21-29 Pap smear every 3 years; no HPV testing 30-65 Pap smear and HPV testing every 5 years (preferred) Pap smear alone every 3 years (acceptable) > 65 Depends on previous screening results: Negative previous tests no additional screening COLORECTAL CANCER (for average-risk individuals) > 50 Colonoscopy every 7 to 10 years starting at age 50 Follow-up If previous colonoscopy is normal: repeat every 7 to 10 years If large or multiple polyps (>3): repeat colonoscopy in at least three years Individuals > age 80 or with multiple co-morbidities should be referred to a GI/Colon-Rectal specialist for determination of appropriate screening options ESOPHAGEAL CANCER Talk to your primary care provider. Endoscopy may be recommended.

LUNG CANCER 55-74 / High Risk* Annual** Low-dose CT (SmartLung CT) SmartLung CT screenings may be obtained via self-referral for individuals who meet the high-risk criteria. A physician may order a SmartLung CT screening for high-risk patients even if they do not meet all criteria but are deemed highrisk by the physician. PROSTATE CANCER < 54 No routine PSA-based screening recommended 55-69 Greatest benefit of screening in this age group Shared decision-making based on patient s values and preferences, life expectancy and cancer risk > 70 or any patient with No routine PSA-based screening < 10-15 years life expectancy Some men > 70 who are in exceptional health may benefit from screening SKIN CANCER If you have concerns, talk to your primary care provider to discuss a screening by a dermatologist. Average risk means no associated symptoms and negative personal or family history of colorectal cancer. Screening recommendations are based on current (2014) best-practice information from the corresponding medical specialties, the American Cancer Society and the United States Preventive Services Task Force. *High risk is defined as smokers with a 30-pack year history; former smokers must have quit within the last 15 years. **Discontinue screenings when the 15-year period since quitting has elapsed, or if another health problem develops that would limit life expectancy or willingness to have lung surgery.

EARLY DETECTION IS THE BEST PROTECTION. Early detection means treatment can start sooner, which can increase an individual s chances of survival. Our education and prevention programs help people identify cancer risk factors and give them information to help them decrease their risk of developing cancer.

Originally accredited as a Comprehensive Community Cancer Program by the American College of Surgeons in 2006, Parkview Hospital s Cancer Center was re-certified with commendation in 2012. The Parkview Comprehensive Cancer Center also received the American College of Surgeons Commission on Cancer s Outstanding Achievement Award in 2013. www.parkview.com/cancer

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