Whats the best cancer?
The one that you dont get.
Not just the one thats easily treated, but the one that never manifests itself.
Photo Illustration by Michela Buttignol for Verywell Health; Getty Images
With many new tests available, is colonoscopy still considered the gold standard for colorectal cancer screening?
Heres what gastroenterologists say.
Is Colonoscopy Still the Best Way To Screen Colorectal Cancer?
Colonoscopy has certain advantages.
Its a one-stop shop.
Before the procedure, you must do bowel prep to clean out your colon.
If everything looks normal in the colon, you could wait 10 years before your next colonoscopy.
But, these tests can have a higher price tag than other types of colorectal cancer screenings.
How Do Stool Tests Compare To Colonoscopy?
If the stool test is positive, you must get a follow-up colonoscopy.
Stool tests are not perfect.
They can miss polyps and must be re-taken every one to three years.
How Do Blood Tests Compare To Colonoscopy?
The FDA has approved two blood tests for colorectal cancer: Epi proColon and Shield.
you’ve got the option to get a blood test at a clinic or your primary doctors office.
It can fill the practical void of folks who may or may not be willing to get a colonoscopy.
And, as human beings, you cant just give a stool sample on demand.
Blood tests provide a noninvasive option for people who would otherwise skip colorectal cancer screening.
However, like stool tests, a positive result requires a follow-up colonoscopy.
The blood tests only detect about 1213% of advanced polyps, he added.
Which Screening Option Is Right for You?
Each test has pros and cons.
It is important to consult your healthcare provider about your screening options.
I think the patient needs to be honest with themselves.
What are they willing to do?
Can they get in every year to have a FIT test done?
If you have a positive test and nothing is done about it, then its a loss.
However, newer, noninvasive options like stool tests and blood tests offer alternatives for those hesitant about colonoscopies.
American Cancer Society.Can colorectal cancer be prevented?.
American Cancer Society.What is colorectal cancer?.
American Cancer Society.People ages 45-49 are not getting screened for colorectal cancer.
American Cancer Society.Top 5 reasons people dont get screened for colorectal cancer.
Food and Drug Administration.Colorectal cancer: what you should know about screening.
Colorectal Cancer Alliance.What to expect during a colonoscopy.
American Cancer Society.Colorectal cancer screening tests.
American Cancer Society.Insurance coverage for colorectal cancer screening.
