Colorectal cancer screening

Colorectal cancer is a very common malignant neoplasm.It is widely accepted that community screening for colorectal cancer significantly reduces mortality of this disease.Detection of neoplasm is facilitated by fecal occult blood testing(FOBT),sigmoidoscopy,colonoscopy and double contrast barium enema.Colonoscopy is currently the gold standard,however,the appropriate age to begin testing and time interval between repeat sereenings remain unclear.Screening with CT colonography(vivtul colonoscopy),fecal DNA analysis and detecting cyclooxygenase 2 messenger RNA in feces is under study.Finding the optimal screening method and increasing acceptability to both physician and patients remain to be studied further.