Obstet Gynecol. 2014 Oct;124(4):849-855. doi: 10.1097/01.AOG.0000454930.69435.fc.
Each year, more than 24,000 women die from colorectal cancer, which makes it the third leading cause of cancer death in women after lung cancer and breast cancer. However, screening tests are underused for many segments of the population and are ordered in a manner inconsistent with guidelines. The primary goal of colorectal cancer screening is to reduce mortality through the reduction of advanced disease. The American College of Obstetricians and Gynecologists recommends colonoscopy for colorectal cancer screening every 10 years for average-risk women beginning at age 50 years and at age 45 years for African American women.The American College of Obstetricians and Gynecologists recommends colonoscopy every 10 years as the most effective screening modality. Every screening method has advantages and limitations, which ultimately depend on the quality of the screening test, patient adherence, screening guidelines, and access to timely and appropriate follow-up. Colorectal cancer screening methods should be discussed with patients to identify the method they are most likely to accept and complete.
每年有超过 24000 名女性死于结直肠癌，使其成为继肺癌和乳腺癌之后女性癌症死亡的第三大主要原因。然而，许多人群的筛查测试使用率较低，并且检测方式不符合指南。结直肠癌筛查的主要目标是通过减少晚期疾病来降低死亡率。美国妇产科医师学会建议，从 50 岁开始，普通风险女性每 10 年进行一次结肠镜检查，而对于非裔美国女性，则从 45 岁开始。美国妇产科医师学会建议每 10 年进行一次结肠镜检查作为最有效的筛查方式。每种筛查方法都有其优点和局限性，这最终取决于筛查测试的质量、患者的依从性、筛查指南以及及时获得适当的随访。应与患者讨论结直肠癌筛查方法，以确定他们最有可能接受和完成的方法。
