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Scre
enin
g Sa
ves
Live
s!
Is E
urop
e ig
norin
g it?
Prof
Ste
phen
P. H
allo
ran
Estim
ated
age
-sta
ndar
dise
d ra
tes/1
00,0
00
Men
Wom
en
Wor
ld T
op 2
0 C
ance
rs- G
LOBO
CAN
201
2 (IA
RC)
Inci
denc
e &
Mor
talit
y (2
012)
Wor
ld –
Col
orec
tal C
ance
r●
3rd
com
mon
est c
ance
r•
4nd
caus
e of
Ca
deat
hs W
este
rn E
urop
e•
2nd
com
mon
est c
ance
rde
ath
•2n
d co
mm
ones
t can
cer
•
1st c
omm
ones
t can
cer
inno
n-sm
okin
g m
en?
Inci
denc
e Mor
talit
y
Estim
ated
age
-sta
ndar
dise
d ra
tes/1
00,0
00
Men
Wom
en
Wes
tern
Eur
ope
Top
20 -
GLO
BOCA
N 2
012
(IARC
)
Inci
denc
e &
Mor
talit
y (2
012)
Wor
ld -
Col
orec
tal C
ance
r●
3rd
com
mon
est c
ance
r•
4nd
caus
e of
Ca
deat
hs W
este
rn E
urop
e•
3nd
com
mon
est c
ance
r•
2nd
com
mon
est c
ance
rde
ath
•
1st c
omm
ones
t can
cer
inno
n-sm
okin
g m
en?
Tren
ds in
col
orec
tal c
ance
r mor
talit
y in
Eur
ope:
retr
ospe
ctiv
e an
alys
is of
the
WH
O m
orta
lity
data
base
1 in
14
men
1 in
19
wom
enD
iagn
osed
with
col
orec
tal
canc
er d
urin
g th
eir l
ifetim
e
Oua
krim
DA
, Aut
ier
P et
al B
MJ
2015
;351
:h49
70
Col
orec
tal c
ance
r mor
talit
y in
Euro
pe.
Men
& W
omen
- 19
70 a
nd 2
011
1 in
14
men
1 in
19
wom
enD
iagn
osed
with
col
orec
tal
canc
er d
urin
g th
eir l
ifetim
e
(Eur
ope
- 201
2)D
iagn
osed
- 44
7,00
0 p.
a.D
ied
- 215
,000
p.a
.
Surv
ival
- 5
year
s afte
r tre
atm
ent
93 %77 %
7%48 %
>50
year
s old
- 1
in 4
hav
epo
lyps
1 in
10
chan
ge to
inva
sive
canc
er
10 y
ears
Poly
p
Stag
e1
23
4
Col
orec
tal C
ance
rPa
thog
enes
is
Cas
e fo
r Sc
reen
ing
Scre
enin
g C
olon
osco
py –
30
to 4
5 m
ins
•Lo
ok fo
r ca
ncer
s – su
rger
y•
Look
for
poly
ps –
rem
ove
(pol
ypec
tom
y)
Col
onos
copy
•Sk
illed
pro
cedu
re -
not w
ithou
t risk
•
Sele
ct p
atie
nts a
t mos
t risk
of c
ance
r!
Bloo
d in
faec
es…
…st
ill th
e be
st m
arke
rfo
r po
pula
tion
scre
enin
g!
Mr A
lber
t Ein
stein
Pate
nt O
ffice
Bern
Vien
na
FIT
(Fae
cal I
mm
unoc
hem
ical
Tes
t)
One
sam
ple,
Eas
y an
d C
lean
Sens
itive
and
Spe
cific
Gua
iac
Feca
l Occ
ult
Bloo
d Te
st
Thre
e sa
mpl
es, m
essy
,in
terf
eren
ce fr
om m
eat a
ndve
geta
bles
Euro
pean
gui
delin
es fo
r qua
lity
assu
ranc
e in
colo
rect
al c
ance
r scr
eeni
ng a
nd d
iagn
osis
.C
hapt
er 4
. Fae
cal o
ccul
t blo
od te
stin
g.
Hal
lora
n SP
, Lau
noy
G, Z
appa
MEn
dosc
opy
2012
; 44
(S 0
3):S
E65-
SE87
Rec
omm
enda
tion
Look
sEx
pens
ive?
1st E
ditio
n 20
10
