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Colorectal Cancer Screening and Surveillance: Current Standards and Future Trends

¹ Division of Surgical Oncology, John Wayne Cancer Institute, 2200 Santa Monica Boulevard, Santa Monica, California 90404
² The Ferguson Clinic, Colon and Rectal Surgery, 4100 Lake Drive S.E., Suite 205, Grand Rapids, Michigan 49546

Correspondence: Address correspondence and reprint requests to: Anton J. Bilchik, MD, PhD; E-mail: bilchika{at}jwci.org.

Its prevalence, long premalignant course, and favorable response to early intervention make colorectal cancer an ideal target for screening regimens. The success of these regimens depends on accurate assessment of risk factors, patient compliance with scheduled visits and tests, and physician knowledge of screening strategies. We review the current recommendations for colorectal cancer screening in general and at-risk populations, comment on surveillance methods in high-risk patients, and examine current trends that will likely influence screening regimens in the future.

Key Words: Colorectal cancer • Screening • Surveillance • Risk factors

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