1. Cancer Screening 101 What All Adults Should Know Donna L. Milavetz, MD, MPH OnSite Care Medical Director

2. Topics Women – Cervical Cancer – Breast Cancer – Colon Cancer – Skin Cancer Men – Testicular Cancer – Prostate Cancer – Colon Cancer – Skin Cancer

3. Cervical Cancer The Pap Test is the screening test of choice All women age 18+ should be screened every 2-3 years UT average 74% ( US: 81%, Target: 93%) 2 cervical cancer vaccines are on the market now Can stop screening at age 65 or if a women has had a hysterectomy

4. Breast Cancer Digital mammogram is the test of choice Some controversy exists on if women should begin screening at age 40. All women age 50 or older should have annual mammograms UT: 66.4% (US: 75%, Target: 85%) 60% of all breast cancers found on screening are localized

8. Ovarian Cancer No screen tests for average risk population Women with mother/sister with ovarian cancer or BRCA 1 or 2 should be screened annually – CA-125 – Vaginal Ultrasound What can you do to lower your risk? – Oral contraceptives – Pregnancy – Breastfeeding – Tubal ligation

9. Colon Cancer All adults age 50 and older should have a screening colonoscopy every 10 years High risk individuals need more frequent screening – Inflammatory bowel disease – First degree relative with colon cancer – Familial polyposis syndromes UT: 69% (US: 66%, Target: 80%) UCAN has done an excellent job at education

10. Skin Cancer UT is in the “Melanoma Belt” of the country Types: Squamous, Basal, Melanoma No screening test, but using sunscreen and practicing sun safety is CRITICAL! Have all suspicious moles looked at UT: 65% (Target: 80%) sun safety practices

11. ABCDs of Skin Cancer A: asymmetry B: irregular borders C: color D: diameter of > 6 mm

12. Testicular Cancer Younger male cancer Screening test is annual testicular examination. Many testicular cancers present with a lump in the testicle Risk Factors – Family History – Undescended testicle – Caucasian

15. Who Should be Screened for Prostate Cancer Begin having a discussion with ALL men at age 50 Screening should begin at age 40-45 for the following groups Black men Men with a family history of prostate cancer particularly in relatives younger than age 65 Men who are known or likely to have the BRCA1 or BRCA2 mutations

16. How Often and with what tests should a man be screened for Prostate Cancer? Men should be screened: every 2-4 years with a blood test for PSA only! No need for digital rectal exam

18. Conclusion Many cancers are curable if detected early Following recommended screening tests do save lives Have an annual exam yearly: it’s a covered service!!!

19. Melanoma

20. Squamous Cell Cancer

21. Basal Cell Cancer