Screening for colorectal cancer: Early detection saves lives
Dr. Seyed Parham Khalili Associate Medical Director
Ask the Doctor
We’re thrilled to welcome Dr. Khalili, our new Associate Medical Director to our Melrose Family Health Center, Mobile Clinic, and Satellite Clinic at The Center. Dr. Khalili brings a wealth of expertise and specializes in primary care, geriatric care, and addiction treatment, enriching our commitment to comprehensive patient care. As March rolls in, Dr. Khalili would like to emphasize the importance of colorectal cancer awareness, early detection saves lives! Colorectal cancer affects about 1 in 24 individuals during their lifetime. National guidelines have recently changed to emphasize timely screening starting at the age of 45 for persons at average lifetime risk to improve treatment outcomes. Consult your provider to determine the best option based on your individual medical history, family history, estimated level of risk and personal preferences. There are two types of screening tests, and the most common examples are: STOOL-BASED TESTS
VISUAL EXAMS OF THE COLON AND RECTUM
FECAL IMMUNOCHEMICAL TEST (FIT): A highly
COLONOSCOPY: The gold standard in testing,
evidence-based yearly stool sample test that detects traces of blood that may not be visible to the naked eye. A small amount of stool is collected with a stick or brush. If the test is positive (abnormal), a colonoscopy is typically recommended to identify the source of the possible bleeding.
performed by a provider under anesthesia using a camera to directly examine the entire colon. It is recommended every 10 years, with earlier intervals sometimes recommended for closer monitoring of polyps (clump of cells that can grow on the lining of the colon) or other increased risk factors.
FIT DNA TEST: A stool test that detects traces of blood and/or abnormal DNA in an entire bowel movement. This test is conducted every three years, and if the result is abnormal, a colonoscopy is recommended to identify the source of the bleeding.
FLEXIBLE SIGMOIDOSCOPY: Also a test performed by a provider using a camera to examine the left side of the colon (the sigmoid region). This is a brief, non-invasive check of the colon, rather than a full colonoscopy. You will not need to be sedated for this procedure. It is recommended every 5 years and might be done with or without a yearly FIT test.
Cancer screenings, including for colorectal cancer, are covered by insurance. For assistance with health coverage enrollment, certified counselors can guide you through Medi-Cal, Medicare, or Covered California.
The most important thing is simply to be screened, regardless of which test you choose with your provider. Schedule an appointment with a provider to learn more.
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