Screening for Early Detection of Cancers II

This paper will review the recent recommendations for screening of 6 major cancers in Korea; stomach cancer, lung cancer, liver cancer, colon cancer, breast cancer, and cervical cancer. Gastrofiberscopy and UGIS remain the main screening tool for stomach cancer over 40 years of age. There is no recommendation for lung cancer screening. Ultrasonography and α-fetoprotein can be recommended for high risk group of liver cancer. Colonoscopy every 5~10 years over 50 is recommended for early detection of colon cancer. Flexible sigmoidoscopy plus double contrast barium enema every 5~10 years can be an alternative for it. Mammography is the main screening tool for breast cancer over 50. Pap smear is recommended for screening for cervical cancer 3 years after vaginal sex. Evidence-based screening programs for major cancers are needed in Korea.