Screening methods for people in different ages
发布时间：2025-01-24 15:40:59
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People of different ages have different physiological characteristics, cancer risk and other factors, and the appropriate cancer screening methods are also different. The following are specific recommendations:
| 20-39 years old | |
|---|---|
| Female | Cervical cancer: Once sexually active, cervical cytology (TCT) is recommended every 3 years, or TCT and HPV cotesting every 5 years. Breast cancer: clinical breast examination can be performed every 3 years from 20 to 29 years old. If there are high risk factors such as family history of breast cancer, annual breast ultrasound examination can be considered from 25 years old, and breast magnetic resonance imaging can be performed if necessary. |
| Male | Testicular cancer: self-examination can be performed once a month to observe whether there is a mass, pain and other abnormalities in the testis. Scrotal ultrasonography should be performed regularly for those with high risk factors such as cryptorchidism. Skin cancer: pay attention to observe whether the skin has nevus enlargement, discoloration, ulcer and other abnormalities, family history or long-term sun workers, if necessary, can seek a dermatologist for skin examination. |
| 40-59 years old | |
|---|---|
| Female | Breast cancer: mammography should be performed annually, and breast ultrasound can be combined. For patients with dense breasts or high-risk factors, supplemental breast MRI can be considered. Cervical cancer: Continue TCT and HPV cotesting every 3-5 years. Colorectal cancer: annual fecal occult blood tests and colonoscopy every 5-10 years. The screening interval should be shortened for those with family history of CRC. Lung cancer: annual LDCT screening is recommended for people over 50 years old with smoking history (≥30 packs/year) or passive smoking history. Gastric cancer: People over 40 years old with a family history of gastric cancer, a history of gastric ulcer, Helicobacter pylori infection and other high-risk factors are recommended to undergo gastroscopy every 2-3 years. |
| Male | Colorectal cancer: In women, annual fecal occult blood tests and colonoscopy every 5-10 years, with shorter screening intervals for those at high risk. Lung cancer: women with high risk factors should be screened by LDCT annually. Gastric cancer: In women, gastroscopy should be performed every 2 to 3 years for those with high risk factors. Prostate cancer: annual prostate specific antigen (PSA) test and digital rectal examination can be performed for men over 45 years old, and screening can be started as early as 40 years old for those with family history and other high-risk factors. |
| Aged 60 years and older | |
|---|---|
| Female | Breast cancer: In good health, continue annual mammography or adjust the frequency as appropriate. Colorectal cancer: In good condition, continue to have colonoscopy every 5-10 years or as determined by previous screening and health status. Lung cancer: annual LDCT screening is recommended for those who still have smoking risk factors and are in good physical condition. Cervical cancer: Consider stopping screening if screening has been negative multiple times and there is no history of advanced disease. |
| Male | Prostate cancer: Continue annual PSA testing and digital rectal examination for those with life expectancy > 10 years. Colorectal cancer, lung cancer, gastric cancer: the screening method is similar to that of women, and the decision of whether to continue screening and screening frequency should be based on comprehensive judgment such as physical condition and previous screening results. |