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Doctor insights on: Medicare Colon Cancer Screening

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Dr. Barry Rosen
4,455 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...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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Colon cancer chemo necessary?

Colon cancer chemo necessary?

Depends on stage: Chemotherapy is never used for stage 1 cancers (early). It is sometimes used in stage 2 cancers (early but more advanced than stage 1). Chemotherapy is definitely beneficial in stage 3 cancers (locally advanced) and in stage 4 cancers (distant spread). ...Read more

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Does colonoscopy prevent colon cancer?

Does colonoscopy prevent colon cancer?

Likely: Cancers start as polyps. Removing polyps decreases cancer risk, but no test guarantees finding every polyp. ...Read more

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Is colon cancer preventable?

For the most part.: Early detection via colonosocpy, not ignoring symptoms such as bleeding, change in bowels, anemia, unintentional weight loss, and not assuming all rectal bleeding is from hemorrhoids are some ways to reduce your chances and maybe prevent colon cancer from developing. ...Read more

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Is colon cancer genetic?

Is colon cancer genetic?

Sometimes: Some colon cancers are related to specific genetic mutations but the majority are not. ...Read more

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Cervical cancer screening?

Cervical cancer screening?

Pap smear: Have your pap smear done starting at age 21 and is the best thing you can do to prevent it. ...Read more

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Are cea markers reliable for metastic colon cancer ?

Are cea markers reliable for metastic colon cancer ?

Depending how used: CEA first identified in 1965 by Phil Gold and Samuel O. Freedman in human colon cancer extracts. Thought to be valuable for dx colorectal Ca but the glycoprotein is also expressed in inflamed tissue so that smoking and enema can cause rise. Best used for monitoring so that if present in primary and rises it represents treatment failure and if diminishes during treatment it represents a response. ...Read more

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Is colon cancer curable?

Yes: Yes. Many people are cured with colon cancer. If found early surgery alone may be curable. If more advanced (eg, lymph node involvement or metastatic = spread to areas outside of colon), then chemotherapy may be needed. While less likely, even a few % of people with metastatic colon ca may be cured. ...Read more

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Can colon cancer patients get a colon transplant?

Can colon cancer patients get  a colon transplant?

No, not needed: The good news is that you don't absolutely need your colon. For most colon cancers, the amount of colon that needs to be removed will not be missed. ...Read more

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Does breast cancer increase colon cancer risk?

Does breast cancer increase colon cancer risk?

Rarely.: Some hereditary mutations may increase the risk of both breast and colon cancer. Nevertheless, the majority of all breast and colon cancers are not hereditary. ...Read more

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Are breast cancer and colon cancer linked?

Are breast cancer and colon cancer linked?

Not directly usually: There is debate about how closely these 2 cancers are related. Both have hereditary natures and are more common generally in obese patients. Both often begin with more benign precursor lesions like dcis for breast cancer and benign polyps for colon cancer. Both are very common but there is little evidence that having either predisposes to having the other. ...Read more

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Which colon cancer screening test is used?

Which colon cancer screening test is used?

Many options: The gold standard is colonoscopy, which is performed under sedation. Other alternatives include barium enema, ct colonography ("virtual colonoscopy"), flexible sigmoidoscopy, and/or checking for blood in bowel movements (hemoccult test). I recommend colonoscopy for all my patients at age 50 (or earlier, if they have a family history). ...Read more

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How reliable are the screening tests for prostate cancer? Does prostate cancer screening save lives?

How reliable are the screening tests for prostate cancer? Does prostate cancer screening save lives?

Doubtful: Psa screening of asymptomatic men has not been shown, conclusively, to reduce prostate cance mortality in the us population. ...Read more

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Best nci national cancer institute breast cancer risk assessment tool?

Best nci national cancer institute breast cancer risk assessment tool?

Gail Risk Assessment: Gail breast cancer risk assessment tool. See: http://www.Cancer.Gov/bcrisktool/. ...Read more

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Is metastatic colon cancer curable?

Is metastatic colon cancer curable?

Possible: But less than 20% survive 5 years. Depends on where the metastases are and how numerous and size. Solitary liver mets without evidence elsewhere in the body can be cured with a liver resection. Diffuse mets to numerous body parts rarelyare curable. ...Read more

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Is advanced stage colon cancer treatable?

Is advanced stage colon cancer treatable?

Yes and no: It is treatable but not curable. That is, you can treat it and may knock it down for a while ..t but it will always come back. But there are many factors that play into it. See cancer.org or cancer.gov for excellent information on the stage and what to expect. ...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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Why is the colon prone to cancer in hnpcc (hereditary nonpolyposis colorectal cancer)?

Why is the colon prone to cancer in hnpcc (hereditary nonpolyposis colorectal cancer)?

Genetic mutations: HNPCC or hereditary nonpolyposis colorectal cancer is an autosomal dominant genetic condition that has a high risk of colon cancer The disease first described by Lynch and is associated with other cancers including endometrial ovary and stomach. The increased risk is due to inherited mutations that impair DNA mismatch repair. .Individuals with HNPCC have an 80% lifetime risk for colon ca. ...Read more

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Are there any stomach cancer and colon cancer molecular screening tests?

Are there any stomach cancer and colon cancer molecular screening tests?

Yes : Colon cancer can be genetic and there a re criteria that can apply and genetic testing is available. There is also a blood level you can check called cea . For stomach cancer like adenocarcina there is no genetic testing. There are familial syndromes like men that can cause stomach tumors called gastronomas or ze syndrome. If concerned can talk to your doctor. But overall these things very rare. ...Read more

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Dr. Charlene Sojico
1 doctor shared a insight

Screening (Definition)

Examples are: colonoscopy for colon polyp or cancer; mammograms for breast lesions or cancer; psa a blood test that could indicate enlargement of cancerous prostate tissue; blood sugar or hemoglobin a!c for diabetes. Many think that scanning the whole body will pick up a cancer--in all likelihood, it will not. There also is no good blood test, yet, ...Read more


Dr. John Gore
944 doctors shared insights

Medicare (Definition)

Medicare is a federal program that pays for certain health care expenses of individuals who are 65 years or older. It is divided into three parts, with Part A covering hospital bills, Part B covering doctor bills, and Part C providing the option to choose from a package of health care plans. Individuals who have Medicare ...Read more