Wesley Chapel United Methodist Church

Type

Populations

Recommendation

Breast

Women, Age 50-74 Years

Biennial screening mammography for women 50-74 years. (B)

Women who have Family Members with Breast, Ovarian, Tubal, or Peritoneal Cancer

Primary care providers screen women who have family members with breast, ovarian, tubal, or peritoneal cancer with 1 of several screening tools designed to identify a family history that may be associated with an increased risk for potentially harmful mutations in breast cancer susceptibility genes (BRCA1 or BRCA2). Women with positive screening results should receive genetic counseling and, if indicated after counseling, BRCA testing. (B)

Cervical

Women 21 to 65 (Pap Smear) or 30-65 (in combo with HPV testing)

Screening for cervical cancer in women age 21 to 65 years with cytology (Pap smear) every 3 years or, for women age 30 to 65 years who want to lengthen the screening interval, screening with a combination of cytology and human papillomavirus (HPV) testing every 5 years. There are clinical considerations for discussion of cytology method, HPV testing, and screening interval. (A)

Colorectal

Adults, beginning at age 50 years and continuing until age 75 years

Screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy in adults, beginning at age 50 years and continuing until age 75 years. The risks and benefits of these screening methods vary.  (A)

Lung

Adults Aged 55-80, with a History of Smoking

Annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery. (B)