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Polish Journal of Surgery

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Analysis of the Efficacy of Screening Tests in Colorectal Cancer by Faecal Occult Blood Test - Own Experience

Tomasz Kozłowski1 / Dariusz Godlewski1 / Maciej Biczysko1 / Marcin Grochowalski1 / Marcin Nelke1 / Jacek Paszkowski1 / Maciej Borejsza-Wysocki1 / Łukasz Krokowicz1 / Piotr Krokowicz1 / Tomasz Banasiewicz1 / Michał Drews1

Department of General and Colorectal Surgery, Medical University in Poznań1

Department of General, Gastroenterological and Endocrynological Surgery, Medical University in Poznań2

Center for Prevention and Epidemiology of Cancers OPEN in Poznań3

This content is open access.

Citation Information: Polish Journal of Surgery. Volume 83, Issue 8, Pages 411–423, ISSN (Print) 0032-373X, DOI: 10.2478/v10035-011-0065-x, October 2011

Publication History

Published Online:
2011-10-04

Analysis of the Efficacy of Screening Tests in Colorectal Cancer by Faecal Occult Blood Test - Own Experience

Screening of the colon cancer seems to be important to improve the results of the surgical treatment. There are different screening programs, the most common use the fecal occult blood (FOB) tests or colonoscopy.

The aim of the study was to evaluate the results of the colon cancer screening based on the FOB test and perform the algorhytm improving the effectiveness of the screening.

Material and methods. 941 patients with the positive results of the FOB (immunochromatographic method) test were investigated. In all cases the rectosigmoidoscopy for the detection of the lower GI tract pathology was done. 312 patients were qualified to colonoscopy.

Results. Adenomatous polyps and adenocarcinomas were detected in 116 patients. There was no correlation between clinical symptoms and the colorectal cancer. The colorectal cancer was recognized statistically more common at the patients with previous detected neoplasia, in the colon and other organs, with hereditary nonpolyposis colorectal cancer and with inflammatory bowel diseases.

Conclusions. The colorectal cancer screening based on the FOB can be effective in the early recognition of the bowel malignancy. The previous questionnaire can eliminate from the FOB screening the patients without indications (previously done colonoscopy or barium enema) or with directly indications for colonoscopy.

Keywords: colorectal cancer; mass screening; fecal occult blood test

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