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Checkup Guidelines

Posted: March 1, 2006

Checkups and screening tests help lower the number of deaths from cancer by detecting the disease in a more treatable stage. These guidelines for the early detection of cancer in people without symptoms are recommended by the American Cancer Society.

A cancer-related checkup is recommended every 3 years for men and women 20 to 40 years of age and every year for those 40 years and older. The checkup should always include health counseling and examinations for cancer of the thyroid, testes, mouth, ovaries, skin, and lymph nodes.

Recommended guidelines for screening tests
Women
Ages 18 to-39
For breast cancer, an examination by a physician every three years, a self-exam every month, and one baseline mammogram between the ages of 35 and 39. For cervical cancer, a pelvic exam every year as well as a yearly Pap test (including women under 18 if sexually active).

Age 40 and over
For breast cancer, a self-exam every month with a yearly professional exam and mammogram. For cervical cancer, a yearly pelvic exam and Pap test. Women at high risk for endometrial cancer should have a sample of endometrial tissue biopsied when menopause begins.

Men
Age 15 and over
For testicular cancer, male teenagers should be taught the testicular self-exam. This should be done on a monthly basis and should always be done on a yearly basis by a professional. Highest risk age for this cancer is 15 to 34.

Age 50 and over
For prostate cancer, a yearly digital rectal exam of the prostate gland and a prostate specific antigen blood test (PSA). For those men at high risk – a history of prostate cancer in a close family member and if you are African-American – start screening at a younger age. Consult with your doctor.

Men and Women
Age 40-50
For colorectal cancer without symptoms, a yearly digital rectal exam.

Age 50 and over
For colorectal cancer without symptoms, a yearly digital rectal exam and stool blood test. A flexible sigmoidoscopy every five years after age 50. Other exams that may be suggested are the colonoscopy or double contrast barium enema. If you have a family history of colon cancer or are experiencing symptoms – consult with your doctor.

Source: American Cancer Society

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