When is screening for colon and rectal cancer indicated in high-risk patients?

Updated: Apr 06, 2021
  • Author: Burt Cagir, MD, FACS; Chief Editor: N Joseph Espat, MD, MS, FACS  more...
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Answer

A patient's family history or personal history may indicate increased risk for colorectal cancer. Patients at high risk for colon and rectal cancer due to family history who should be included in surveillance programs include those with the following:

  • Family history of colon and rectal cancer
  • First-degree relative with adenoma aged younger than 60 years
  • Genetic cancer syndromes
  • Hereditary nonpolyposis colorectal cancer (HNPCC)
  • Familial adenomatous polyposis (FAP)

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