Transcription of 2 | KENYA NATIONAL CANCER SCREENING GUIDELINES
1 2 | KENYA NATIONAL CANCER SCREENING GUIDELINES KENYA NATIONAL CANCER SCREENING GUIDELINES | 3 Suggested Citation:Ministry of Health, KENYA . KENYA NATIONAL CANCER SCREENING GuidelinesNairobi, November 2018 Access this document information:Ministry of HealthP O BOX 30016 00100 NairobiKenyaEmail: MINISTRY OF HEALTH 4 | KENYA NATIONAL CANCER SCREENING GUIDELINES ABBREVIATIONS & ACRONYMS 6 FOREWORD 9 ACKNOWLEDGEMENTS 11 EXECUTIVE SUMMARY OF KEY RECOMMENDATIONS 13 INTRODUCTION 16 GUIDELINE OBJECTIVES AND TARGET GROUP 21 PANEL SELECTION AND COMPOSITION
2 21 THE APPROACH 21 SCOPE OF THE GUIDELINES 21 REFERENCES 22 BREAST CANCER SCREENING 24 INTRODUCTION 24 RATIONALE FOR SCREENING 24 RISK FACTORS FOR BREAST CANCER 25 SCREENING INTERVENTIONS AND FREQUENCY OF SCREENING 27 TARGET POPULATION 29 AVERAGE RISK POPULATION
3 29 HIGH RISK POPULATION 30 RISK ASSESSMENT ALGORITHM 32 SCREENING AT VARIOUS HEALTHCARE LEVELS 33 BREAST CANCER SCREENING AND REFERRAL ALGORITHM 34 REFERENCES 35 CERVICAL CANCER SCREENING 39 INTRODUCTION 39 RISK FACTORS FOR CERVICAL CANCER 40 RATIONALE FOR SCREENING 40 WHO SHOULD BE SCREENED AND WHEN?
4 41 SCREENING METHODS FOR CERVICAL CANCER 41 HPV TEST 43 VISUAL INSPECTION METHODS 45 CYTOLOGY-BASED SCREENING METHODS 48 SCREEENING AT VARIOUS HEALTHCARE LEVELS 49 RECOMMENDATIONS FOR SPECIAL POPULATIONS 50 MANAGEMENT OF CERVICAL PRE-CANCEROUS LESIONS 51 POST-TREATMENT SCREENING 55 REFERENCES 56 TABLE OF NATIONAL CANCER SCREENING GUIDELINES | 5 COLORECTAL CANCER SCREENING 60 INTRODUCTION 60 RISK FACTORS
5 67 RATIONALE FOR SCREENING 61 RECOMMENDED APPROACH TO SCREENING 61 OTHER APPROACHES TO SCREENING 61 SCREENING INTERVENTIONS 62 COLONOSCOPY 63 FECAL OCCULT BLOOD TESTING (FOBT) 63 FLEXIBLE SIGMOIDOSCOPY 63 DOUBLE CONTRAST BARIUM ENEMA (DCBE) 64 VIRTUAL (CT) COLONOSCOPY 64 WHO SHOULD BE SCREENED & WHEN?
6 65 WHO DOES THE SCREENING ? 67 SCREEENING AT VARIOUS HEALTHCARE LEVELS 67 REFERENCES 69 OESOPHAGEAL CANCER SCREENING 71 INTRODUCTION 71 RISK FACTORS
7 71 RATIONALE FOR early DETECTION 72 GOALS OF SCREENING 72 APPROACHES TO SCREENING 72 SCREENING TESTS 72 SCREENING RECOMMENDATIONS 73 WHO DOES THE SCREENING ?
8 73 REFERENCES 73 ORAL CANCER SCREENING 75 INTRODUCTION 75 RATIONALE FOR SCREENING 77 WHO SHOULD BE SCREENED AND WHEN? 77 SCREENING AT VARIOUS HEALTHCARE LEVELS 77 SCREENING TESTS TO BE DONE 78 SCREENING ALGORITHM FOR OSCC 80 REFERENCES 81 PROSTATE CANCER SCREENING
9 84 INTRODUCTION 84 RATIONALE FOR SCREENING 85 SHARED DECISION-MAKING 86 WHO SHOULD BE SCREENED 88 6 | KENYA NATIONAL CANCER SCREENING GUIDELINES FREQUENCY OF SCREENING BY AGE 89 BIOPSY TRIGGER 89 INTERPRETATION OF PSA RESULTS 90 AGE-SPECIFIC REFERENCE RANGES FOR SERUM PSA 90 WHO SHOULD DO THE SCREENING ?
10 90 SCREENING AT
