Table 2.
Suggested Cancer Screening Program
Tumor Type | Recommended Screeninga |
---|---|
Non-melanoma skin cancer and melanoma | ● reduce UV skin exposure ● periodic self-evaluation ● annual dermatological evaluation |
Thyroid cancer | ● periodic neck palpation ● if using US, 5 years after RT and then once every 3–5 years if negative |
Breast cancer | ● annual clinical evaluation ● annual mammography/mammary MRI starting at 25 yo or 8 years after radiation, whichever occurs later, but no later than age of 40 |
Pulmonary cancer | ● avoid/stop smoking |
Oropharynx cancer | ● annual dentist evaluation |
Colorectal cancer | ● annual FOB testing ● colonoscopy once every 5 years, starting 10 years after abdominal RT, however not before age of 40 ● rectosigmoidoscopy once every 5 years in >50 yo patients |
Prostatic cancer | ● periodic serum PSA level testing as indicated in general population |
Cervix cancer | ● Pap-test once every 1–3 years in >21 yo women |
Hematologic disorders | ● annual CBC, hematologic visit if abnormal |
Other sites | ● as per clinical indication/monitoring |
Note: aUse proper diagnostic tools if indicated as for good clinical practice.
Abbreviations: UV, ultraviolet; US, ultrasound; RT, radiotherapy; MRI, magnetic resonance imaging; FOB, fecal occult blood; PSA, prostatic specific antigen; CBC, complete blood count; yo, years old.