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Doctor insights on: Colonoscopy Guidelines Family History

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Dr. Liawaty Ho Dr. Ho
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How does a family history of colon cancer age for routine screening?

Dr. Liawaty Ho Dr. Ho
5 doctors agreed:
How does a family history of colon cancer age for routine screening?

Important: Family history of cancer is very important information. If your family history of colon cancer is significant ( multiple family members with colon cancer especially at younger age) -then you would need to be screen for colon cancer- started approximately 10 years earlier than the age of the youngest person in the family got diagnosed with colon cancer.You also need to see a genetician if history +. ...Read more

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Dr. Charles Cattano
2,055 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more


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Family history of breast cancer. Should i get brca testing?

Family history of breast cancer. Should i get brca testing?

Depends: Many people have a distant relative who had breast cancer late in life and that is not an indication for brca testing. There are certain criteria like very young breast cancer, male breast cancer, triple negative breast cancer before age 60, and others. Visit your family doc or gyn to see if you need a referral to a genetics health professional for testing. ...Read more

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Dr. Liawaty Ho Dr. Ho
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Family history of colon cancer. Do I start seeing GI before or at age parent diagnosed?

Dr. Liawaty Ho Dr. Ho
5 doctors agreed:
Family history of colon cancer. Do I start seeing GI before or at age parent diagnosed?

Earlier colonoscopy: If you have a significant family history of colon cancer, you would start your colonoscopy 10 years earlier than the age of the youngest family members diagnosed with colon cancer. Significant history - if there are multiple family members with colon ca; if a very young age of diagnosis of colon ca in some family members; diagnoses of other, associated cancers in family members. ...Read more

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If I had clean colonoscooy 10 years ago,no family history of colon cancer, no issues, iscologuard ok?

If I had clean colonoscooy 10 years ago,no family history of colon cancer, no issues, iscologuard ok?

Maybe one day: There are large studies underway right now to answer that question. The US Preventative Services Task Force has not yet decided on whether the fecal DNA test is enough on its own to screen for colon cancer. ...Read more

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Family history lung cancer before 50. I'm 32 former smoker. Good age for low dose CT screen? I do not fit current screening requirements. Studies say I have 80% increase lc risk, scared!

Too early to screen: Fam hx of lung cancer in a first degree relative? Less concerning if it is not. Former smoker at 32? What is your pk/yr smoking history? Risk does not increase significantly over nonsmokers until > 10 pk/yr. Smoking assoc lung cancer is very rare before 45 yoa. If lc is in first degree relative & smoking hx >10 pk/yr and very concerned discuss with your PCP and get low dose CT at 45 then every 2 y ...Read more

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Should I have genetic testing for breast cancer if family history?

Should I have genetic testing for breast cancer if family history?

Maybe: If in doubt go to a genetics counselor - most cancer centers have one. The consultation is not expensive, but the test itself is. They will ask about your age, the exact numbers of family members affected, their age at diagnosis, whether one or both breasts, their relationship to you (mother, sister, or daughter increase your personal risk), other cancers in the family. Then they can advise you. ...Read more

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Is a family medical history important? 

Is a family medical history important? 

VERY VERY IMPORTANT: Dear bgonzalez, i feel that family history is at least 50% of a patient's evaluation. I still believe that family genetics is greater than 50%, perhaps 70% of my focus on a patients's potentially preventable disease. If there is breast cancer in the family at an early age-more attention to early diagnostic testing is appropriate. Myriad now has certain tests available. See their website, . ...Read more

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Current recommendations for breast cancer screening?

Current recommendations for breast cancer screening?

Awareness: For you few years from now regular breast examination by the physician, monthly self examination, annual mammography , if needed sonography, some times mri, core needle biopsy of suspicious dencities. Genetic study ( braca i & ii ) if there is strong family history. ...Read more

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Is my family history relevant to my breast cancer diagnosis?

Is my family history relevant to my breast cancer diagnosis?

YES YES YES: Especially first degree relatives with breast cancer such as one mother or sisters (or father or brothers for that matter). If one of these family members were diagnosed under age 50, that's also and important fact. Consider genetic counseling. ...Read more

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Do colonoscopies screen for colon cancer?

Do colonoscopies screen for colon cancer?

Yes.: That is one of the main reasons for colonoscopy. The gastroenterologist usually can see every part of the colon wall and biopsy suspicious lesions. Often this is curative if found early. While not completely true, consider all polyps to be future cancers and most cancers come from polyps. Screening should begin at age 50 unless there is a history to suggest beginning earlier. ...Read more

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I'm 50years old, african descent, no family history of prostate cancer. Psa 4.1 but normal digital rectal exam. Is biopsy recommended? Any risk? Thanks

I'm 50years old, african descent, no family history of prostate cancer. Psa 4.1 but normal digital rectal exam. Is biopsy recommended? Any risk? Thanks

Yes: Indication for a prostate biopsy are an abnormal dre or an elevated psa (most common reason). There is no psa level at which one can absolutely say that prostate cancer is or is not present; only that the higher the psa the greater the probability. Normal/average psa for age 50: ~0.7. Chance of fnding pca on bx with psa 4.1: ~25-35%. Risks of bx: infection, bleeding, pain, urinary retention. ...Read more

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Who should undergo genetic counseling for hereditary non-polyposis colorectal cancer (hnpcc)?

Who should undergo genetic counseling for hereditary non-polyposis colorectal cancer (hnpcc)?

Family history: There are a number of different inherited defects that cause hnpcc. A person with strong family history of colon cancer, occurring at a young age should seek counseling. ...Read more

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Current STD screening recommendations?

Current STD screening recommendations?

Risk-based: Talk to your healthcare provider about specific concerns! in general, if you are a woman under 25, test for gonorrhea and chlamydia each year, and over 25 if you have new partners or multiple partners. Hiv/syphilis/hepatitis testing if you have another std, have had more than one partner since your last test, or use injection drugs. Pap tests every other year (age 21-30) or every three (age 30-64). ...Read more

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Other than immediate family members (mother father brother sister) should any other family member's medical history be taken in consideration as well?

Other than immediate family members (mother father brother sister) should any other family member's medical history be taken in consideration as well?

Grandparents too!: When considering close family history, i also want to include grandparents. Although uncles, aunts, cousins may not be as important, include their information if you have it. ...Read more

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Is 5year old child with colon polyp vulnerable to cancer especially if he don't have any family history?

Is 5year old child with colon polyp vulnerable to cancer especially if he don't have any family history?

Hard to tell: Intestinal polyps are very variable and some increase your risk of cancer while some are benign. It is best to maintain follow up with your gastroenetrologist for a clarification of the nature of your sons's polyps, the doctors recommendation on the need for removal and your son's risk of intestinal cancer. It is reassuring that you do not know of a family history of GI polyps or cancer. ...Read more

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At which age should you start prostate cancer screenings if you have a strong family history?

At which age should you start prostate cancer screenings if you have a strong family history?

Prostate cancer chec: If you have a familia history the aua advises testing as early as 40 years old depending on life expectancy and a review of the risks and benefits of screening. ...Read more

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If a family member has ovarian cancer, can genetic screening determine if other family members will get the disease?

If a family member has ovarian cancer, can genetic screening determine if other family members will get the disease?

Yes: Ovarian cancer, especially pre-menopausal ovarian cancer is a rare disease and i recommend family members of such patients atleast have a genetics consultation to talk about testing. Brca-1 and brca-2 mutations put women at a much higher risk of developing ovarian, breast and endometrial cancers. More common in jewish women. Hnpcc (lynch syndrome) also increases the risks of female cancers. ...Read more

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Family history colon cancer, last colo, 3 yrs ago, nothing, today, large polyp, lab test, maybe echo, french doctor, anything else, probabilities?

Size and type: The risk of there being cancer in a polyp is correlated with the size and type of polyp. Polyps resected by colonoscopies have a risk of leaving tissue behind that remains suspect. A lot depends on what the pathologist sees. ...Read more

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Family History (Definition)

A family history consists of information about disorders suffered by the relatives of a patient. The history can help the patient identify diseases that he or she may be susceptible to, and help the patient to ...Read more