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Why I Chose FIT—And You Can, Too!

Categories: Colorectal (Colon) Cancer

Photo of Dr. Marcus Plescia

By Marcus Plescia, MD, MPH
Former Director of CDC’s Division of Cancer Prevention and Control

Last year I turned 50. Time to get tested for colorectal (colon) cancer!

If you read our recent Vital Signs report, you know colorectal cancer is the second leading cancer killer of men and women in the United States, after lung cancer. And about 23 million people—that’s 1 in 3 adults—between 50 and 75 have not been tested appropriately.

As a physician, I’ve taken care of people who’ve had colon cancer; it’s serious. As director of CDC’s Division of Cancer Prevention and Control, I lead a national program that promotes colorectal cancer screening. If ever there was a time to step up to the plate, this was it. I told myself, ‘It’s time to practice what you preach!’

The three recommended colorectal cancer screening tests are—

  • high-sensitivity stool tests, including the fecal immunochemical test (FIT);
  • the seldom-done flexible sigmoidoscopy;
  • and the test done most frequently—colonoscopy.

I took a good hard look at each of them.

I understand the science, have good insurance, and can get any test I want. For some time now, I’ve tried to make the argument that colonoscopy is not the only colon cancer screening test option. And if I could do anything to help people understand that there are effective test options, I would.

There is appeal to the argument that with colonoscopy, you can see the inside lining of the colon, so it can be a very thorough checkup, with polyp removal if necessary. But the FIT has advantages, too.

I opted for the FIT because it was a very reasonable option, one I’m comfortable with. It met my needs perfectly. I wanted to lead by example—it’s one thing to say that it’s a very effective colorectal cancer screening test and recommend it to others … another to do it yourself. But that’s not the only reason I chose FIT. I also thought, ‘Boy, this is pretty easy!’ I got the test in the mail, it took about five minutes, nothing unpleasant about it, and I sent it back.

I liked having options, and that I could tailor what test I did to what my preferences were. I liked the idea that it was convenient, and that I didn’t have to take a day off of work. I’m due for my next FIT in April, and I’ll continue to think about and consider the test options every time I’m due for screening. At some point I may get a colonoscopy, though probably not for awhile. I really believe what we say: the best screening test is the one that gets done!

Public Comments

Comments listed below are posted by individuals not associated with CDC, unless otherwise stated. These comments do not represent the official views of CDC, and CDC does not guarantee that any information posted by individuals on this blog is correct, and disclaims any liability for any loss or damage resulting from reliance on any such information. Read more about our comment policy ».

  1. Wednesday, February 26, 2014 at 5:19 pm ET  -   Carolyn

    I am fortunate enough to work in an office that hands out free guaiac FOBT kits every April. So, naturally, I have taken advantage of this every year, and every year I have gotten negative results. Two and a half years ago, I turned the magic age – 50 – and decided I should get a colonoscopy along with doing the FOBT. Thank God I did. The doctor found three polyps, luckily not cancerous. In a few weeks I will be 53. And although I plan to do the FOBT again this year, I will also be getting my 3-year colonoscopy screening in the fall.

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  2. Thursday, August 7, 2014 at 5:42 pm ET  -   Rob

    Thank you for sharing your story Carolyn. It points out the shortcomings of the guaiac cards. As a simple fact, they are not as sensitive or specific as the FIT test and should not be relied upon for Colorectal Cancer screening. I’m glad you also received your colonoscopy so that your polyps were removed before they could ever turn into Cancer.

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  3. Saturday, September 20, 2014 at 4:21 pm ET  -   Inna

    It is a very interesting material but I am a Pharmasist and I can look migrants in Moscow with colorectal disease. May be our people have the same diagnosis too but I looked the patients with problems with treatment after Platinum-Based Chemotherapy in metro with long growth nails in foots before the death. It is cochmar.

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  4. Sunday, October 5, 2014 at 8:06 am ET  -   Charlie Balentine

    This is a fantastic article. It would be great to get the word out about how far the FIT has come since it’s FDA approval. As a widely studied test, great improvements have been made in the FIT test since its FDA approval.

    Most people, including the CDC, don’t realize that today’s FIT test is the obvious choice for population based screening of colorectal cancer due to cost and life-gained years. Most people don’t realize that the American College of Gastroenterology recommends a colonoscopy every ten years and an annual FIT test. Why? It’s been widely studied and proven that FIT annually plus colonoscopy every ten years detects colorectal cancer two years earlier than colonoscopy alone.

    More importantly, Dr. Plescia begins his article with some statements: He has good insurance, is a man of science who comprehends the different tests on a level the average person does not, and has no economic barriers to an test. It’s our job to get the word out that you don’t need insurance to have a FIT test, and economic barriers are gone too. A Second Generation FIT test is now OTC cleared (for home use – think a pregnancy test that you’d pick up at Walgreens) by the FDA. It’s commercially available for $20.00 from Pinnacle BioLabs and is extremely easy to use.

    Authoritative websites such as the CDC, American Cancer Society, and even the governments Colon Cancer Control Program make no mention of such an option.

    We are talking about 5 minutes, once a year, and done.

    For more information click here: http://pblabs.com/collections/fit-fecal-immunochemical-test

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