1. Integrated Cancer Screening Colorectal Cancer Screening

4. What is Colorectal Cancer? Normal Polyp (adenomatous polyp) Cancer 10 – 15 years  Less than 5% of all polyps become cancer  Colorectal cancer symptoms can take 10 - 15 years to appear

5. Colorectal Cancer Facts  Both men and women can get colorectal cancer  Second leading cause of cancer death in Ontario  No early warning symptoms  It can take 5 to 10 years from when a cancer starts to grow before symptoms appear

6.  Estimated new cases: 8700  Estimated deaths: 3350 90% of these cancers are treatable when found early! Colorectal Cancer in Ontario 2013

7.  Average Risk, age 50-74 Fecal Occult Blood Test (FOBT)  Increased Risk Colonoscopy What are The Tests for Colorectal Cancer?

8. Checks for small amount of blood in stool  Men and women age 50 and older  No family history of colorectal cancer  No symptoms or other health conditions Fecal Occult Blood Test (FOBT)

9.  Every 2 years  Done at home  No cost Fecal Occult Blood Test (FOBT)

10. How To Do The Test  No Vitamin C, citrus fruits or juices for 3 days before and during test  Use collection kit to get a clean sample

11. Fecal Occult Blood Test Plan to collect clean samples free of urine, water or tissue

12. Fecal Occult Blood Test Collect 2 samples from 3 different bowel movements over 1 week

13. Fecal Occult Blood Test Send the card by mail

14. Result letter in 2-3 weeks Recall Letter Fecal Occult Blood Test

15.  Positive test means blood is in the sample  Only 5% of positive tests are cancer  More tests (Colonoscopy) Positive FOBT?

16.  Ask your family doctor  Call Telehealth Ontario at 1-866-797-0000 to talk to a registered nurse about how to get the FOBT kitTelehealth Ontario How to Get a FOBT Kit?

17. Colonoscopy Increased Risk Population

18. A test that uses a small camera to look at the inside of the colon What is a Colonoscopy?

19. Screening test for increased risk:  Strong family history of colon cancer  Other health conditions in the digestive system Positive FOBT:  Follow-up test Colonoscopy

20. How to Prepare for a Colonoscopy  No food or drink, clear fluids only 12 hours before the test  Prepare bowel with medication from the drug store

21. Colonoscopy  After sedation, doctor inserts endoscope through anus into rectum and colon  Depending on results, doctor will suggest next steps

22. Questions ?

23. Thank you