When Should I Start Getting Screened for Colorectal Cancer?

Colorectal cancer is cancer that starts in the colon or the rectum. Abnormal growths, called polyps, form in the colon or rectum, which can turn into cancer over time. Colorectal cancer is the second most common cause of cancer death in the United States. The American Cancer Society recommends people at average risk begin screening at age 45. Getting screened regularly can help find colorectal cancer when it hasn’t spread, is small, and is potentially easier to treat.

Screening recommendations

Those who have an average risk for colorectal cancer should start regular screening at age 45. Those in good health expecting to live at least ten more years should continue to screen regularly through the age of 75. Those who are between the ages of 76 and 85 should discuss with their health care provider whether they should continue to get screened or not. These considerations should be based on prior screening results, personal preferences, life expectancy, and overall health. Those older than 85 no longer need to be screened for colorectal cancer.

Screening for people at higher risk for colorectal cancer

Those who are at higher risk for colorectal cancer may need to start screening before age 45. They may also need to be screened more often or take specific tests. People who are at higher risk are those with:

• Personal history of colorectal cancer or certain types of polyps
• Family history of colorectal cancer or certain types of polyps
• Family history of a hereditary syndrome such as Lynch syndrome or familial adenomatous polyposis
• History of radiation to the pelvis or abdomen to treat a previous cancer
• Personal history of inflammatory bowel disease

Talk to your health care provider if you are at a higher risk for colorectal cancer. Your doctor can help you with the best screening options and scheduling. Be sure to contact our Investigative Clinical Research studies center in Annapolis Maryland online at icrmd.com or call us at 410-224-4887.