| Theme | Clinical characteristics of fecal immunochemical test (FIT) negative colorectal cancer | |
|---|---|---|
| Title | Characteristics of colorectal cancers with negative fecal immunochemical test (FIT) | |
| Publish Date | 2019/09 | |
| Author | Yoshio Kusaba | Division of Gastroenterology, Division of GI Endoscopy, Department of Medicine, Kurume University School of Medicine / Division of Endoscopy, Kurume University School of Medicine |
| Author | Osamu Tsuruta | Division of Gastroenterology, Division of GI Endoscopy, Department of Medicine, Kurume University School of Medicine / Division of Endoscopy, Kurume University School of Medicine |
| Author | Tsutomu Nagata | Division of Gastroenterology, Division of GI Endoscopy, Department of Medicine, Kurume University School of Medicine / Division of Endoscopy, Kurume University School of Medicine |
| Author | Akihiro Ouchi | Division of Gastroenterology, Division of GI Endoscopy, Department of Medicine, Kurume University School of Medicine / Division of Endoscopy, Kurume University School of Medicine |
| Author | Tomoyuki Nakane | Division of Gastroenterology, Division of GI Endoscopy, Department of Medicine, Kurume University School of Medicine / Division of Endoscopy, Kurume University School of Medicine |
| Author | Syuuhei Fukunaga | Division of Gastroenterology, Division of GI Endoscopy, Department of Medicine, Kurume University School of Medicine / Division of Endoscopy, Kurume University School of Medicine |
| Author | Michita Mukasa | Division of Gastroenterology, Division of GI Endoscopy, Department of Medicine, Kurume University School of Medicine / Division of Endoscopy, Kurume University School of Medicine |
| Author | Keiichi Mitsuyama | Division of Gastroenterology, Division of GI Endoscopy, Department of Medicine, Kurume University School of Medicine / Division of Endoscopy, Kurume University School of Medicine |
| Author | Takuji Torimura | Division of Gastroenterology, Division of GI Endoscopy, Department of Medicine, Kurume University School of Medicine / Division of Endoscopy, Kurume University School of Medicine |
| [ Summary ] | The fecal immunochemical test (FIT) is widely accepted as a useful tool for screening colorectal cancer. Although FIT is an effective tool for detecting colorectal cancers, false-negative findings are inevitable, which is its shortcoming, especially for detecting cancer in the right colon, sigmoid colon, and rectum. For colorectal cancer mass screenings, health care professionals should have a good understanding of FIT, endeavor to increase its rate of application, and encourage people to undergo the test annually. A significant difference was not admitted to the depth of invasion, macroscopic classification, pathological type, ly・v, lymph node metastasis. In conclusion, FIT is useful for detecting advanced colorectal cancer; however, it sufficiently cannot detect early-stage colorectal cancer. Thus, an endoscopic screening test in addition to FIT needs to be considered for lesions suited to endoscopic treatment. | |