ALL GUIDELINES SHOULD BE REVIEWED WITH YOUR PHYSICIAN AT ANNUAL WELLNESS VISITS
*Adapted from the American College of Radiology, American Cancer Society and the US Preventative Task Force, American Congress of Obstetricians and Gynecologists, American College of Gastroenterology and Centers for Disease Control and Prevention
Key Actions: exercise regularly, eat fruits/vegetables, maintain a healthy weight, quit smoking and limit alcohol intake
HPV Vaccine: being vaccinated against Human Papillomavirus (HPV) can help prevent 6 different types of cancer.
11-12 years old: routine vaccination (can start as early as age 9)
13-26 years old: catch up vaccination, if not previously/adequately vaccinated
27-45 years old: discuss with your doctor if not previously/adequately vaccinated
HBV Vaccine: the Hepatitis B virus (HBV) can lead to liver cancer if untreated. HBV vaccine is recommended for all adults at least once/lifetime.
20-39 years old: Self-breast exam
40-54 years old: Yearly mammogram
55 years and older: Yearly or every other year mammogram based on a discussion with your doctor
Women at high-risk should consider yearly screening mammogram as well as breast MRI before age 40
Under 21 years old: Screening not needed regardless of sexual activity
21 - 29 years old: Pap test every 3 years
30 - 65 years old:
- Pap test alone every 3 years, or
- FDA-approved primary hrHPV testing alone every 5 years, or
- Co-testing (hrHPV testing and pap) every 5 years
65 years and older: No screening needed if a series of prior tests were normal
Women who have had a hysterectomy: screening is not needed if no history of high-grade cervical precancerous lesions or cervical cancer
45 to 75 years old: Colonoscopy every 10 years and yearly FIT; if unable/unwilling to undergo colonoscopy, ask your doctor about other options including flexible sigmoidoscopy, multi-target stool DNA test, CT colonography or colon capsule
75 years older: Discuss with your doctor
Annual Low Dose CT scan is recommended for:
- Adults who are aged 50-80 years
- AND who have a 20 pack-year smoking history (number of packs/day times number of years smoked)
- AND who currently smoke or have quit within the past 15 years
Try nicotine replacement therapy and other support to quit; screenings no longer needed once a person has not smoked for 15 years
All ages: Dental visits every 6-12 months and oral self-exams routinely
40 years and older: If father or at least one brother had prostate cancer at early age
45 years and older: African American or a family history (father or brother)
50 years and older: Discuss Prostate Specific Antigen (PSA) blood test and possible digital rectal exam with your doctor
All ages: Perform skin self-exams and take advantage of free screenings; discuss recommended screening intervals with physician