Intoduction:
In 2000, the American Cancer Society (ACS) began a yearly report on its cancer detection guidelines, current issues related to screening and/or testing for the early detection of cancer, and updates on cancer screening rates.1 These annual reports provide a regular, yearly source for ACS guidelines related to cancer screening, or guidance to the public about testing for early detection for select cancers where mass screening is not recommended. The first report also included a description of the ACS process for the development or update of a cancer screening guideline.1
In 2001, the ACS published revisions in the early detection guidelines for colorectal cancer, endometrial cancer, and prostate cancer, and an updated narrative related to testing for early lung cancer detection.2 Guidelines for cervical cancer screening were most recently updated in 2002.3 In 2003, guidelines for the early detection of breast cancer were updated, and a technology update related to colorectal cancer screening also was published, resulting in the addition to immunochemical stool blood testing to the recommendations for colorectal cancer screening.4,5 The annual guideline reviews, as well as the more detailed guideline updates published as stand-alone articles, are available online at http://Caonline.AmCancerSoc.org.
At this time, several guidelines reviews and updates are in progress. The ACS is updating recommendations for the prevention and early detection of skin cancer, and conducting technology updates for (1) breast cancer screening in women at known or suspected inherited risk for breast cancer, and (2) testing stool for colorectal cancer. Furthermore, in the coming year we will publish an update on the recommendations for postpolypectomy and postcolorectal cancer resection follow up, which was done as a collaborative review with the U.S. Multisociety Task Force on Colorectal Cancer.6
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