CRC Screening: Current Trend and Feasibility

Rashidul Islam, S. H. Sheikh, A. Taher, S. Khatun, Ahsan Habib, G. Salauddin, T. Khan, Sudersona Saha Podder, B. Debnath
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Abstract

Colorectal cancer, a rising health concern of both east and west , can be prevented and it’s mortality can be reduced by screening all men and women of average risk  at the age of 50 years or older and  at an earlier age for  high risk group of colorectal cancer. Several tests are available for colon cancer screening, including fecal occult blood test (FOBT), flexible sigmoidoscopy, double-contrast barium enema, and colonoscopy. Direct and indirect evidence indicates that all the tests are effective, but they differ in their sensitivity, specificity, cost, and safety. The available evidence does not currently support choosing one test over another. In addition, other new colorectal cancer tests, such as virtual colonoscopy or stool-based molecular testing, have the potential to become important screening tests in the future. Journal of Surgical Sciences (2015) Vol. 19 (2) : 61-66
CRC筛查:当前趋势和可行性
结直肠癌是东西方日益关注的健康问题,通过对50岁或50岁以上的所有平均风险男性和女性以及更早的年龄进行结直肠癌高风险群体的筛查,可以预防结直肠癌并降低其死亡率。有几种检查可用于结肠癌筛查,包括粪便隐血检查(FOBT)、乙状结肠镜检查、双对比钡灌肠和结肠镜检查。直接和间接证据表明,所有检测都是有效的,但它们在敏感性、特异性、成本和安全性方面存在差异。现有的证据目前不支持选择一种测试而不是另一种。此外,其他新的结肠直肠癌测试,如虚拟结肠镜检查或基于粪便的分子测试,有可能在未来成为重要的筛查测试。外科杂志(2015)Vol. 19 (2): 61-66
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