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Colon Cancer/colonoscopy intervals

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Question
Dear Dr. C,
I am a very healthy 50 year old male and recently had a colonoscopy as a part of a routine physical. I had a couple of diverticuli, no polyps or other abnormalities and have absolutely no history of c/r cancer in my family. I know there is quite a lot of variation regarding how often this procedure should be repeated; I've heard as soon as 5 years and as long as 10 years (or never). Which theory do you subscribe to? Thank you very much for your thoughts.
Woody

Answer
Woody,
80% of patients who develop colorectal cancer have no family history or high-risk factors.  While there is some variation in recommendations, most colorectal cancer specialists and a number of gastroenterogical, surgical, and cancer societies recommend colonoscopic screening every 5 years after the age of 50 for average risk people.  People with moderate or high risk should be screened more often.

Colon Cancer

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John C. M.D.

Expertise

I can answer questions regarding molecular biology, risk factors, and other aspects of colon and rectal cancer. I will only be able to answer questions regarding chemotherapy and radiation therapy in general terms.

Experience

Extensive research in molecular biology and clinical aspects of colon cancer at the University of Minnesota Cancer Center


Publications
Surgical Forum
Seminars in Colon & Rectal Surgery
Diseases of the Colon and Rectum (in publication)

Education/Credentials
M.D. University of Minnesota 1994
Clinical Research Fellow, University of Minnesota Cancer Center 1996-1999

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