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Colon cancer screening: Weighing the options
What is your attitude toward screening tests?
What is your doctor's approach to screening tests?
What is your risk level?
Content
What preparation is involved?
How convenient is the test?
What about cost and insurance issues?
What's your attitude toward screening tests?
What's your doctor's approach to screening tests?
What's your risk level?
What are the pros and cons of each test?
Colonoscopy
Stool DNA test
Fecal occult blood test or fecal immunochemical test
Virtual colonoscopy (CT colonography)
What's the bottom line?
What is your doctor's approach to screening tests?
What is your risk level?
Content
What preparation is involved?
How convenient is the test?
What about cost and insurance issues?
What's your attitude toward screening tests?
What's your doctor's approach to screening tests?
What's your risk level?
What are the pros and cons of each test?
Colonoscopy
Stool DNA test
Fecal occult blood test or fecal immunochemical test
Virtual colonoscopy (CT colonography)
What's the bottom line?
Stool DNA test
The stool DNA test uses a sample of your stool to look for DNA changes in cells that might indicate the presence of colon cancer or precancerous conditions. The stool DNA test also looks for signs of blood in your stool.
For this test, you collect a stool sample at home and send it to a laboratory for testing. Stool DNA testing is typically repeated every three years.
The pros:
- The test doesn't require bowel preparation, sedation or insertion of a scope.
- You can eat and drink normally, and take your normal medications, before the test.
- The stool can be collected at home, avoiding disruption of work and daily activities.
The cons:
- The DNA stool test is less sensitive than colonoscopy at detecting precancerous polyps.
- If abnormalities are found, additional tests might be needed.
- The tests can suggest an abnormality when none is present (false-positive result).