Screening Protocols For USMLE Step 2 CK
Screening Protocols For USMLE Step 2 CK
Screening Protocols For USMLE Step 2 CK
Contents
CANCERs ................................................................................................................................................. 2
A. Lung cancer screening ................................................................................................................. 2
B. Cervical cancer screening ............................................................................................................ 3
C. Breast Cancer ............................................................................................................................ 11
CANCERs
Screening should be discontinued once a person has not smoked for 15 years or
develops a health problem that substantially limits life expectancy or the ability or
willingness to have curative lung surgery.
B. Colon cancer
Up to 75 years of age
Primary Sclerosing Cholangitis:
▪ Candidate: Screening for tumors associated with familial adenomatous polyposis (FAP)
should be performed in individuals with a pathogenic Adenomatous Polyposis Coli mutation.
▪ Method and frequency: In individuals at risk for classic FAP, we begin CRC screening around
age 10 to 15 years with colonoscopy. The number, size, and distribution of polyps should be
noted during the colonoscopy to define the extent of the polyposis and the plan for
colectomy. Several polyps should also be sampled to confirm histology. Patients should
continue to undergo annual CRC surveillance with colonoscopy while awaiting colectomy.
▪ Colectomy — Colectomy is recommended for patients with classic FAP, since the risk for
developing CRC is considered to be 100 percent, and the high polyp number makes
endoscopic control unrealistic. In patients with AFAP in whom endoscopic control is feasible,
surveillance can obviate or delay the need for colectomy.
C. Surveillance after colon cancer resection
Stage IV ADD
More frequent CT scans
*Colonoscopy is the most accurate diagnostic test for surveillance
Specifier Next colonoscopy in
Polyp with adenocarcinoma (must have minimal invasion and ≥2mm margin) 2-3 months
D. Breast cancer screening
F. Breast Cancer