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Re: lichen sclerosus et atrophicus and colorectal caFrom: ainsron@msn.comFri Dec 8 14:52:58 2000
At Fri, 08 Dec 2000, Gail Waldby wrote: > >CEA is not helpful as a screening test. It is helpful to follow someone >who has had colorectal cancer whose CEA was originally high. > >I still recommend yearly stool blood tests even if the patient has a normal >colonoscopy. Not every colon cancer arises on a background of colon >polyps. There is no guarantee that you won't develop colon cancer in the >interval between colonoscopies. >Gail Waldby, MD >Huron Clinic SD > These are the ACS recommendations for low-risk screening, which I follow: AMERICAN CANCER SOCIETY RECOMMENDATIONS FOR EARLY COLORECTAL CANCER DETECTION Beginning at age 50, both men and women should follow one of the three screening options below: Yearly fecal occult blood test plus flexible sigmoidoscopy every 5 years*, or Colonoscopy every 10 years*, or Double contrast barium enema every 5-10 years*. *A digital rectal examination (DRE) should be performed at the time of each screening sigmoidoscopy, colonoscopy, or barium enema examination.
-- Ronald E. Ainsworth, MD
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