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Sunday, November 22nd, 2009

How Early Should Testing Begin If You Have a Family History of Colon Cancer?

Colon cancer is a scary proposition and indeed it is the second leading cause of cancer death in both men and women in the United States. The saddest part about this statistic is that when colon cancer is diagnosed in its earliest stages the cure rate hovers around 95%. Too few people still are being tested on a regular basis though, even though public awareness about the disease has increased over the last several years.

The current accepted medical guidelines state that all men and women over the age of 50 should undergo a colonoscopy at least once every five years. Such guidelines apply only though to those who have no family history of colon cancer. For those that do many doctors agree that earlier and more vigorous testing is required.

According to recent American Cancer Society guidelines if a person is known to have a had a first degree relative (Parents, siblings or  children) they should begin colon cancer screening ten years before the age at which that relative was diagnosed with the disease if at all possible. For instance, if your father was diagnosed with colon cancer at the age of 50 ideally screening should commence at 40. If you have a brother who is diagnosed at 45 begin discussing screening at 35.

These however are merely guidelines and a colo-rectal specialist will tend to evaluate each patient on a case by case basis. It is important that both men and women divulge any history of colon cancer within their immediate family to their family doctor so that the potential risk is noted, even if the patient is perfectly healthy.

In recent years there has been an increase in the amount of genetic testing and counseling amongst those who have a family history of colon cancer to help determine their risk of developing colon cancer themselves as well as the likelihood that they may become ill before the age of 50.

One difficulty faced by some patients is that there health insurance companies may be unwilling to pay for colonoscopies at an earlier age, or at a frequency that exceeds the commonly accepted guidelines. This is where a physician should be asked to step in and assist, by providing medical notation that clearly explains why such testing is needed.

6 Responses to “How Early Should Testing Begin If You Have a Family History of Colon Cancer?”

Sandy Holmes Says:

Does “family history” ,for example related to colon cancer, only include parents and siblings? Don’t some diseases skip generations? Why wouldn’t a grandparent’s history of colon cancer be important? I expect it is something to do with gene science of which I know nothing. But I’m curious and any explanation would be gratefully received. Thanks, Sandy

Peter Massa Says:

Hey!
Live, live, live and smile and be happy.
I have a colonoscopy every two years because both my parents died from colon cancer.
In those days, a colonoscopy was almost an unknown. No publicity. If so, my parents could have lived longer lives.
If you don’t have a colonoscopy, you’ll never be able to take advantage of this first sentence.
It’s nothing to it. Just do what you have to do.

John S Says:

My father was diagnosed @ 70 with stage 4, passed away at 75, I was 46 @ the time, and had my first colonscopy done and the insurance paid 100%. It was no big deal, the technology now a days make it a much easier these days. It provided me a peace of mind knowing I was clean before 50. After I had mine done a number of friends who were at least 10 yrs older than me who never had one done, had theirs. Get it done!!!

Paul Stein Says:

Anybody know of the rate of complications from a colonoscopy, including deaths directly related to bowel perforation? Yes, Im sure its less then those who undiagnosed will die from the cancer, but nevertheless shouldnt that enter into the equation for testing (and repeat testing)?

Katherine Stone Says:

My mother passed away from colon cancer 12 years ago, and I have not had a colonoscopy yet. All 4 of my siblings have had it done, but I am terrified, since I am on alot of meds and they told me I had to have anesthesia, which scares me to death. Am scheduled to have one done Dec. 1st and sonder if they can Valium me till the anesthesia!!

BOB FREE Says:

I HAD COLON CANCER @ 57. I DIDN’T HAVE THE SUGGESTED TESTS AT ALL UNTILL IT WAS TO LATE. AND THEN ALL ALL HELL BROKE LOOSE. YOU CAN’T IMAGINE THE ABDOMINAL PAIN. LUCK WAS WITH ME. I’M RETIRED MILTARY AND THE MILITARY HOSPITAL AND STAFF TOOK EXECELANT CARE OF ME. I HAVE HAD THE COLONOSCOPIES AND BLOOD TESTS FAITHFULLY SINCE.
I ALSO HAVE SEVERE ACID REFLUX ALONG WITH BARRETT’S ESOPHOGUS. A CAMERA UP AND A CAMERA DOWN. THAT WAS WHEN STOMACH CANCER WAS FOUND. JUST LOOKING AROUND THE CORNER FOR ANOTHER ONE. BUT I WILL BEAT THAT ONE TOO.
I’LL HAVE THE CAMERAS UP AND DOWN THE REST OF MY LIFE. BUT THAT IS BETTER THAN THE ALTERNATIVE.

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