Screening and early diagnosis of colorectal cancer – current status in the regions of the Czech Republic
Abstract
The Czech Republic belongs to the countries with highest colorectal cancer (CRC) incidence worldwide which differs in regions of this country. The Pilsner region stands out in all epidemiologic features (incidence, mortality, prevalence).
The proportion of CRC as the second metachronous primary malignant disease has increased in past ten years, due to the elongation of life expectancy. The National colorectal cancer screening programme was launched in year 2000.
Nowadays two screening methods (fecal occult glood tests and primary screening colonoscopy) are offered to asymptomatic individuals aged over 57 255 people have been examined by colonoscopy since year 2006. Adenomas were removed in 17 760 of them (31.0 %) and cancer was diagnosed in 2 665 (4.7 %) individuals.