Personal history of curative-intent resection of colorectal cancer Patients with one large (≥1 cm) adenomatous polyp or multiple adenomatous polyps of any sizeĬolonoscopy within 3 years after initial polyp removal if normal, colonoscopy every 5 years Patients with single, small (<1 cm) adenomatous polypsĬolonoscopy within 3 years after initial polyp removal if normal, as per average risk recommendations above Once cancer is ruled out, more than 90 percent of anorectal complaints can be managed in the primary care physician's office using simple techniques.Īll patients age 50 and over not in the categories belowįOBT every year and flexible sigmoidoscopy every 5 yearsĬolonoscopy every 5 to 10 years or DCBE every 5 to 10 years Colorectal cancer can be cured only if found early. Cancer can coexist with benign lesions, so complete assessment is necessary. It is a grave error to automatically assume that every patient who presents with common, mild or occasional symptoms has only a benign condition such as hemorrhoids. Further testing and examination, including sigmoidoscopy or colonoscopy are indicated in select patients. This examination must include abdominal examination, visual inspection of the anal and perineal areas, digital rectal palpation and anoscopic visualization, preferably using an Ive's slotted anoscope (see part I: Symptoms and Complaints). A thorough physical examination should be performed to detect and evaluate all anorectal lesions. Pathologic findings are often discovered during a routine examination or during assessment of symptoms. Patients frequently present to family physicians for evaluation of lesions in the anorectal area.

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