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Goutham Sunny: Colorectal Cancer Screening – Evolving Landscape
Jun 8, 2025, 09:31

Goutham Sunny: Colorectal Cancer Screening – Evolving Landscape

Goutham Sunny, Former Resident Doctor at The Gujarat Cancer and Research Institute, shared a post on X about a paper by Melina A. McCabe et al. published in Nature Reviews Clinical Oncology:

“Colorectal Cancer (CRC) Screening: Evolving Landscape.
CRC = 2nd leading cause of cancer death, 3rd most common globally. Begins as adenomatous/serrated polyps – Advanced precursor lesions (APLs) – invasive cancer. Goal of screening: Detect early-stage CRC and prevent cancer by removing precursors
Colonoscopy
  • Gold standard: highest sensitivity and specificity
  • Detects and removes precursors
  • Invasive, costly, burdensome – lower uptake
Stool-based tests
  • Non-invasive, user-friendly
  • Good for mass screening
  • Require follow-up colonoscopy if abnormal
Blood-based tests (cfDNA)
  • Easy and potentially boosts uptake
  • Poor detection of APLs – lower prevention capability
Key Insight:
  • Screening uptake is as vital as test accuracy
  • Innovation in biomarkers + non-invasive testing could enhance effectiveness
  • Need to balance detection, prevention, patient adherence and cost for optimal public health.”

Title: Novel colorectal cancer screening methods – opportunities and challenges

Authors: Melina A. McCabe, Anthony J. Mauro, Robert E. Schoen

Goutham Sunny: Colorectal Cancer Screening - Evolving Landscape

You can read the Full Article in Nature Reviews Clinical Oncology.

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