Colorectal Cancer
- 40,000 cases/year, 5-year survival: 60%
- When to do FIT testing:
- With an abdominal
- With a change in bowel
- With iron-deficiency
- Aged 40 years and over with unexplained weight loss and abdominal
- Aged under 50 years with rectal bleeding and either of the following unexplained symptoms:
- Abdominal
- Weight
- Aged 50 years and over with any of the following unexplained symptoms:
- Rectal
- Abdominal
- Weight
- Aged 60 years and over with anaemia, even in the absence of iron deficiency.
- Refer if:
- FIT (Faecal Immunochemical Test) ≥10 micrograms of Hb
- FIT result <10, but strong clinical concern
- Direct referral (without FIT) if suspecting an abdominal/rectal mass
- Follow-up:
- After hemicolectomy for colorectal cancer, monitor with CEA (Carcinoembryonic Antigen)