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2 | KENYA NATIONAL CANCER SCREENING GUIDELINES

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

Breast, cervix uteri, oesophagus, prostate and colorectum are the leading types of new cancer cases in both males and females across all ages, with oesophageal cancer being the leading cause of cancer deaths, followed by cervical cancer and then breast cancer. It is sad to note that 70-80% of cancer patients in Kenya are diagnosed at an advanced

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  Guidelines, Screening, Breast, Cancer, Cervical, Breast cancer, Cervical cancer, Cancer screening guidelines

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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

2 21 PANEL SELECTION AND COMPOSITION 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

3 FREQUENCY OF SCREENING 27 TARGET POPULATION 29 AVERAGE RISK POPULATION 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

4 SCREENING 40 WHO SHOULD BE SCREENED AND WHEN? 41 SCREENING METHODS FOR cervical CANCER 41 HPV TEST 43 VISUAL INSPECTION METHODS 45 CYTOLOGY-BASED SCREENING METHODS 48 SCREEENING AT VARIOUS HEALTHCARE LEVELS

5 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 67 RATIONALE FOR SCREENING 61 RECOMMENDED APPROACH TO SCREENING 61 OTHER APPROACHES TO SCREENING

6 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?

7 65 WHO DOES THE SCREENING ? 67 SCREEENING AT VARIOUS HEALTHCARE LEVELS 67 REFERENCES 69 OESOPHAGEAL CANCER SCREENING 71 INTRODUCTION

8 71 RISK FACTORS 71 RATIONALE FOR EARLY DETECTION 72 GOALS OF SCREENING 72 APPROACHES TO SCREENING 72 SCREENING TESTS 72 SCREENING RECOMMENDATIONS 73 WHO DOES THE SCREENING ?

9 73 REFERENCES 73 ORAL CANCER SCREENING 75 INTRODUCTION 75 RATIONALE FOR SCREENING 77 WHO SHOULD BE SCREENED AND WHEN?

10 77 SCREENING AT VARIOUS HEALTHCARE LEVELS 77 SCREENING TESTS TO BE DONE 78 SCREENING ALGORITHM FOR OSCC 80 REFERENCES


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