ADULT CANCER SCREENING

Cross Street Medical Clinic offers most relevant screening tests. Speak to our doctors today about what you may need. Female doctors are available by appointment. We ensure patient privacy and confidentiality for all discussions, tests and treatments.

What is a cancer screening

Screening is the presumptive identification of unrecognized disease or defects by means of tests, examinations, or other procedures that can be applied quickly.

When promoting screening programmes as part of early detection of cancer, it is important for national cancer control programmes to have sufficient resources to perform the screening tests and available facilities to provide subsequent diagnosis, treatment, and follow-up.

Patients and health care providers may understand the concept of early detection, but they fail to comply with recommended cancer screening activities. Non-compliance is a general health problem and one that must be actively addressed to improve outcomes.

Colorectal cancer

Colorectal cancer is the most common cancer in men and second most common cancer in women in Singapore. Colorectal cancer develops mostly from adenomatous polyps becoming malignant (adenoma-carcinoma sequence) and takes between 5 to 10 years to develop. They are present in up to 25% of people aged 50; the prevalence continues to increase with age. Adenomatous polyps are relatively asymptomatic. Removal of pre-malignant lesions can prevent colorectal cancer.

Screening type	Recommended groups	Schedule
Colorectal Cancer	All men and women, 50 years or older Start at 45 years old if positive family history of colorectal cancer or polyps	Faecal Occult Blood Test (FOBT) every 12 months
		Flexible Sigmoidoscopy every 5 yearsorColonoscopy every 10 yearsorBarium Enema every 5 to 10 years
	If there are no symptoms, polyps, cancer or family history	CT Colonoscopy every 5 to 10 years

For more detailed information, please refer to the hyperlink below for additional recommendations:

https://www.nuh.com.sg/usc/patients-and-vistiors/diseases-and-conditions/colon/screening-for-colorectal-cancer.html

Cervical cancer

Cervical cancer is the 10th most common cancer in women in Singapore.

Screening type	Recommended groups	Schedule
Cervical Cancer	All females aged 21 to 29 years	PAP smear every 3 years
	All females aged 30 to 65 years	PAP smear every 3 years or PAP smear and HPV test every 5 years

Breast cancer

Breast cancer is the most common cancer in women in Singapore.

More than 25% of all cancers in women are due to breast cancer. The risk of breast cancer increases with age.

Increased risk is associated with following:

The length of the fertile period, i.e. menopause, is a risk factor. A woman whose menopause occurs at 55 years of age has a significantly greater risk than a woman who menopauses at 45 years of age.
Age at first completed pregnancy is also important: having the first completed pregnancy after the age of 30 years increases the risk compared to those who complete the first pregnancy before age 30. Likewise, women who have never been pregnant also have a higher risk of getting breast cancer.
Hormone replacement therapy increases the risk of breast cancer.
Between 5 to 10% of all breast cancers are associated with genetic factors. The genes BRCA1 and BRCA2 have been identified and may be associated with breast cancer occurring in approximately half of all families with a very strong history of breast and/or ovarian cancer.

Screening type	Recommended groups	Schedule
Breast Cancer	All females aged 30 years and older	Breast self-examination every month
	All females aged 40 to 49 years All females aged 50 to 69 years	Discuss with your doctor about the benefits, limitations and harms of mammography. If you decide to proceed, mammogram every 12 months Mammogram every 2 years

For more detailed information, please refer to the hyperlink below for additional recommendations:

https://www.nccs.com.sg/PatientCare/WhatisCancer/T...

Nasopharyngeal cancer

Nasopharyngeal cancer is the 8th most common cancer in men in Singapore.Nasopharyngeal cancer is the most common head and neck cancer, with more than 70% of cases affecting Chinese men, particularly Cantonese, age 40-65 years.

Screening type	Recommended groups	Schedule
Nasopharyngeal Cancer	If you have 2 or more family members or relatives with nasopharyngeal cancer	EBV IgA test and nasoendoscopy is recommended every 12 months

Liver cancer

Liver cancer is the 4th most common cancer in men in Singapore.

Screening type	Recommended groups	Schedule
Liver Cancer	Persons with following: • Chronic Hepatitis B infection • Hepatitis C cirrhosis • Liver cirrhosis from other causes	Ultrasound of the liver every 12 months Alpha feto-protein every 6 months

Prostate cancer

Prostate cancer is the 3rd most common cancer in men in Singapore.

Risk factors include smoking and family history.

Screening type	Recommended groups	Schedule
Prostate Cancer	Males aged 50 and above, and who have a family history of prostate cancer diagnosed below 60 years of age.	Digital rectal examination (DRE) and Prostate specific antigen (PSA) may be done every 1-2 years

For more detailed information, please refer to the hyperlink below for additional recommendations:

https://www.nccs.com.sg/PatientCare/WhatisCancer/TypesofCancer/Pages/Prostate-Cancer.aspx?p=/PatientCare

Cross Street Medical offers all relevant vaccinations and screening tests. Speak to our doctors about what you may need. Female doctors are available by appointment.