Memorial Sloan-Kettering Cancer Center

How the Diagnosis Is Made

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Dr. Arnold Markowitz, Gastroenterology and Nutrition Service
Dr. Arnold Markowitz, Gastroenterology and Nutrition Service

A regular program of screening examinations is the best way to ensure an early diagnosis -- and a growing number of colorectal cancers are in fact being found during routine screening.

Colorectal cancer screening and diagnosis may involve one or more of a number of tests, such as a fecal occult blood test or colonoscopy.

Any polyps or other growths that are found during colonoscopy are usually removed at the time and sent to a laboratory for examination. A pathologist will examine this sample under the microscope to determine if there are cancer or precancer cells present.

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If tests indicate that you have colorectal cancer, additional examinations will be performed to determine its extent -- a process called staging. Knowing how far your cancer has progressed is important when deciding what regimen of treatment might be most appropriate for you. Blood tests for CEA (a protein that acts as a marker for colorectal cancer) and imaging tests such as a CT scan, MRI, and chest x-ray will help determine whether or how far the cancer has spread.

©2008 Memorial Sloan-Kettering Cancer Center.