Get the screening tests you need from the experts who know cancer best.

Screening tests detect cancer’s hidden warning signs long before symptoms appear and when the disease is most treatable. Complete the cancer screening and prevention questionnaire to manage your cancer risk and screening needs.

Know Your Risk

Screening Guidelines

Find out what cancer screenings are right for you, based on age, gender and family history.

Stay Informed

How often do you need a colonoscopy? When should you begin mammograms? Download our tip sheet to stay on track.

How We Can Help

It’s difficult to keep track of which tests you need and when, and whether a personal or family history of cancer affects your risk. We’ll help you arrange everything you need right here at Roswell Park.

  • Provide screening tests based on your needs
  • Educate you about cancer risk and early detection
  • Create a plan to help you stay on track with appropriate screenings
  • Connect you with experts in specialized clinics

Screening Guidelines

By Disease

  • Age 40 and older should have annual breast cancer screening with mammography along with clinical exams.
  • Younger than age 40 should discuss their personal risk factors, and medical and family history with their physician to determine when to begin annual mammography screening.
  • With major risk factors, including a strong family history or a known mutation in a gene associated with breast cancer, should begin yearly screening before age 40. Because breast cancer in younger women is harder to detect with mammography, women should speak with their doctor about whether other screening tests such as magnetic resonance imaging (MRI) are advised.
  • All women should begin cervical cancer screening at age 21.
  • Women between the ages of 21 and 29 should have a Pap test every 3 years. They should not be tested for HPV unless it is needed after an abnormal Pap test result.
  • Women between the ages of 30 and 65 should have both a Pap test and an HPV test every 5 years. This is the preferred approach, but it is also acceptable to have a Pap test alone every 3 years.
  • Women over age 65 who have had regular screenings with normal results should not be screened for cervical cancer. Women who have been diagnosed with cervical pre-cancer should continue to be screened.
  • Women who have had their uterus and cervix removed in a hysterectomy and have no history of cervical cancer or pre-cancer should not be screened.
  • Women who have had the HPV vaccine should still follow the screening recommendations for their age group.
  • Women who are at high risk for cervical cancer may need to be screened more often. Women at high risk might include those with HIV infection, organ transplant, or exposure to the drug DES. These women should consult with their doctor or nurse.
  • Colon cancer is largely preventable, but you must have a screening test that will detect warning signs such as polyps, abnormal growths, precancerous lesions or early malignancies, long before you notice any symptoms.
  • All adults should begin screening for colon and rectal cancer at age 50 unless other risk factors or symptoms indicate screening should begin at an earlier age.
  • Asbestos-related lung disease or pulmonary asbestosis
  • History of emphysema
  • Chronic obstructive pulmonary disease (COPD)
  • Family history of lung cancer (parent, sibling or child)
  • Two or more first-degree relatives (parent, sibling or child) who were diagnosed with pancreatic cancer
  • Three or more blood relatives, with at least one affected first-degree relative who were diagnosed with pancreatic cancer
  • A diagnosis of Peutz-Jeghers syndrome (associated with mutations in the STK11 gene)
  • Genetic Testing showing a genetic mutation of BRCA2 and you have two family members (or one first-degree relative) diagnosed with pancreatic cancer
  • Genetic testing that shows a genetic syndrome or mutation that increases risk for pancreatic cancer, such as Lynch syndrome, Familial Atypical Multiple Mole Melanoma (FAMMM) syndrome, or mutation of P16 or PALB2, and you have a first-degree relative with pancreatic cancer.
The NCCN recommends that you receive a PSA test for early detection of prostate cancer only if:
  • You are African-American
  • You have a father or brother who had prostate cancer — especially if they were younger than 60 at the time of diagnosis
  • You have undergone genetic screening that showed you have a genetic mutation (such as BRCA1, BRCA2, ATM, HOXB13, MLH1, MSH2 or MSH6)

If you have a family history of prostate cancer, you should talk with your doctor about beginning early-detection testing 10 years before the age of the earliest prostate cancer case in your family (for example, at age 35 if your father or brother received a prostate cancer diagnosis at age 45).

If you do not fall into any of the groups above, you may consider beginning early detection with baseline PSA test and digital rectal exam at age 45.

A PSA test is generally not recommended for men over the age of 75 unless they are very healthy and have a life expectancy of 10 years or more.

Full-body skin check for patients with any suspicious lesions.

By Age and Gender