$Unique_ID{BRK01232} $Pretitle{} $Title{Exam Schedule for a Family History of Colon Cancer} $Subject{colon cancer tests digestive system colonoscopy polyps examination special procedure procedures cancers carcinoma large intestine intestines neoplasm neoplasms test digestion colonoscopies polyp examinations} $Volume{I-12,P-12,B-12} $Log{ Colonoscopy*0002800.tid Discussion of Colonoscopy*0002801.scf Colonoscopic View of Colon Conditions*0002803.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Exam Schedule for a Family History of Colon Cancer ------------------------------------------------------------------------------ QUESTION: I am presently 48. Both my parents have colon cancer, father at age 67 and mother at age 51. Recently on colonoscopy, two polyps were removed from my colon, both found to be benign. My doctor wishes to wait three years for my next exam, but I read that the American Cancer Society recommends two successive years with normal findings before waiting for 3 to 5 years. Do you think an exam every three years is sufficient for someone with my history? ------------------------------------------------------------------------------ ANSWER: While the American Cancer Society recommendations are valuable guidelines, each patient must be viewed as an individual, with medical care organized and given to meet with their special needs. The discovery of the polyps, to my way of thinking, is sufficient reason for you to have an examination on a yearly basis until you have a negative result for two years in a row, then three years between examination seems reasonable. Your family history is strong indication to follow this schedule. Another precaution you might wish to perform on your own is a yearly stool examination for blood, using one of the many home kits now on the market. Though not always 100 percent accurate, they are sufficiently so to serve as a valuable resource for you in between your yearly scoping. Your local office of the American Cancer Society can provide you with the written guidelines to show your present physician. If that doesn't help convince him, there are plenty of others who do believe that timely examinations are necessary. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.