Document Detail

Evaluation of screening tests for colorectal cancer.
MedLine Citation:
PMID:  7010404     Owner:  NLM     Status:  MEDLINE    
The following guidelines are proposed for the asymptomatic patient representing for routine examination. Instruct the patient to eat All Bran cereal or a similar product for breakfast for three consecutive days prior to the day of appointment. At the time of appointment the stool obtained from rectal examination or from a spontaneous bowel movement is checked for occult blood using the guaiac method. If the findings are negative, no further tests are recommended. If positive, the patient is given complete dietary instructions in a non-meat, high-residue diet with avoidance of beets, horseradish, vitamins, or aspirin-containing compounds. The patient is then given six Hemoccult or Quikcult slides and is instructed to prepare two fecal slides from each stool specimen daily for three days. If these are all negative when tested, no further studies are necessary. If one or more are positive, however, sigmoidoscopic examination and colon and upper gastrointestinal radiography should be carried out in that order. Evidence that early lesions (Duke A or B) are detected and the cure rate improved with this procedure is quite convincing.
R J Bolt
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Primary care     Volume:  7     ISSN:  0095-4543     ISO Abbreviation:  Prim. Care     Publication Date:  1980 Dec 
Date Detail:
Created Date:  1981-05-28     Completed Date:  1981-05-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0430463     Medline TA:  Prim Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  683-9     Citation Subset:  IM    
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MeSH Terms
Carcinoembryonic Antigen / analysis
Colonic Neoplasms / diagnosis*,  radiography
Colonoscopy / standards
Evaluation Studies as Topic
Occult Blood
Rectal Neoplasms / diagnosis*
Sigmoidoscopy / standards
Reg. No./Substance:
0/Carcinoembryonic Antigen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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