Summary of American Cancer Society Recommendations For the Early Detection of Cancer In Asymptomatic People
		Population
Test or Procedure	Sex	Age	Frequency
Sigmoidoscopy, preferably flexible	M & F	50 and over	Every 3-5 years
Fecal Occult Blood Test	M & F	50 and over	Every year
Digital Rectal Examination	M & F	40 and over	Every year
Prostate Exam*	M	50 and over	Every year
Pap Test	F	All women who are , or who have been, sexually active, or have reached the age of 18, should have an annual Pap test and pelvic examination. After a woman has had three or more consecutive satisfactory normal annual examination, the Pap test may be performed less frequently at the discretion of her physician.
Pelvic Examination	F	18-40 over 40	Every 1-3 years with Pap test Every year
Endometrialis Tissue Sample	F	At menopause, if at high risk**	At menopause and thereafter at the discretion of the physician
Breast Self-Examination	F	20 and over	Every month
Breast Clinical Examination	F	20-40 Over 40	Every 3 years Every year
Mammography***	F	40 and over	Every year
Health Counseling and Cancer Checkup****	M & F M & F	Over 20 Over 40	Every 3 years Every year
* Annual Digital Rectal Examination and prostate-specific antigen should be performed on men 50 years and older. If either is abnormal, further evaluation is indicated. History of infertility, obesity, failure to ovulate, abnormal uterine bleeding, or unopposed estrogen, or tamoxifen therapy. * Screening mammography should begin by age 40. **** To include examination for cancers of the thyroid, testicles, prostate, ovaries, lymph nodes, oral region, and skin.

Revised November 1992