Medical organizationScreening recommendations
Breast cancer
MAMMOGRAPHY
AAFPEvery 1 to 2 years, ages 50 to 69; counsel women ages 40 to 49 about potential risks and benefits of mammography and clinical breast examination.
ACOGEvery 1 to 2 years starting at age 40, yearly after age 50
ACSAnnually after age 40
AMAEvery 1 to 2 years in women ages 40 to 49; annually beginning at age 50
CTFPHCEvery 1 to 2 years, ages 50 to 59
NIHData currently available do not warrant a universal recommendation for mammography for women in their 40s; each woman should decide for herself whether to undergo mammography.
USPSTFEvery 1 to 2 years, ages 50 to 69
CLINICAL BREAST EXAMINATION
AAFPEvery 1 to 2 years, ages 50 to 69; counsel women ages 40 to 49 about potential risks and benefits of mammography and clinical breast examination.
ACOGYearly (or as appropriate) general health evaluation that includes examination to detect signs of premalignant or malignant conditions
ACSEvery 3 years, ages 20 to 39; yearly after age 40; monthly breast self-examination beginning at age 20
AMAContinuation of clinical breast examinations in asymptomatic women older than age 40
CTFPHCYearly, ages 50 to 69
USPSTFInsufficient evidence to recommend for or against using clinical breast examination alone; optional every 1 to 2 years, ages 50 to 69
Cervical cancer
AAFPPap test at least every 3 years to women who have ever had sexual intercourse and who have a cervix
ACOGAnnual Pap test and pelvic examination beginning at age 18 or when sexually active; after 3 or more tests with normal results, Pap test may be performed less frequently on physician's advice.
ACSPap test annually starting at age 18 or when sexually active; after 2 to 3 normal (negative) tests, continue at discretion of physician.
AGSPap test every 3 years until age 70; in women of any age who have never had a Pap test, screening with at least 2 negative smears 1 year apart
AMAAnnual Pap test and pelvic examination starting at age 18 (or when sexually active); after 3 or more normal annual Pap tests, the Pap test may be performed less frequently at the physician's discretion.
CTFPHCPap test annually beginning at age 18 or following initiation of sexual activity; after 2 normal Pap results, perform Pap tests every 3 years to age 69.
USPSTFPap test at least every 3 years in women who have ever had sexual intercourse and who have a cervix; discontinue regular testing after age 65 if Pap test results have been consistently normal.
Colorectal cancer
AAFPNo published standards or guidelines for low-risk patients
ACOGAfter age 50, annual FOBT (DRE should accompany pelvic examination); sigmoidoscopy every 3 to 5 years
ACSAfter age 50, yearly FOBT plus flexible sigmoidoscopy and DRE every 5 years or colonoscopy and DRE every 10 years or double-contrast barium enema and DRE every 5 to 10 years
AMAAnnual FOBT beginning at age 50, and flexible sigmoidoscopy every 3 to 5 years beginning at age 50
AGAFOBT beginning at age 59 (frequency not specified); sigmoidoscopy every 5 years, double-contrast barium enema every 5 to 10 years or colonoscopy every 10 years.
CTFPHCInsufficient evidence to recommend using FOBT screening in the periodic health examination of individuals older than age 40; insufficient evidence to recommend sigmoidoscopy in the periodic health examination; insufficient evidence to recommend screening with colonoscopy in the general population
USPSTFAfter age 50, yearly FOBT and/or sigmoidoscopy (unspecified frequency for sigmoidoscopy)
Prostate cancer
AAFPNo published standards or guidelines for low-risk patients
ACP-ASIMPhysicians should describe potential benefits and known harms of screening, diagnosis and treatment; listen to the patient's concerns, then individualize the decision to screen.
ACS and AUAOffer annual DRE and PSA screening, beginning at age 50, to men who have at least a 10-year life expectancy and to younger men at high risk.
AMAProvide information regarding the risks and potential benefits of prostate screening.
CTFPHC and USPSTFDRE and PSA tests are not recommended for the general population.
Skin cancer
ACSCancer-related checkup, including skin examination every 3 years between ages 20 and 40, and every year for anyone age 40 and older
AMAPatients should talk to their physicians about the frequency of screening for skin cancer (those at modestly increased risk should see a primary care physician annually); skin self-examination should be performed monthly.
CTFPHCInsufficient evidence to recommend for or against total-body skin examination or self-examination; counsel on avoiding sun exposure and wearing protective clothing.
USPSTFInsufficient evidence to recommend for or against routine screening for skin cancer by primary care clinicians or counseling patients to perform periodic skin examination.
Testicular cancer
ACSExamine testicles as part of a cancer-related checkup.
CTFPHCInsufficient evidence to recommend routine examination of testes by physician or by patient self-examination
USPSTFInsufficient evidence to recommend for or against routine screening of asymptomatic men in the general population by physician examination or patient self-examination