Abstract
Objective: To make-up effective program for colon cancer screening at young adult(aged under 40 years old), we researched two groups: occult blood(-)+Sigmoidoscopy(SCS) and occult blood(+) + Total colonoscopy(TCS). Among them we investigated what kind of sickness ware found. Metods: Between June 2004 and May 2006,8911 persons aged under 40 years old were done 2 times of occult blood test.210(who were negative at occult blood)were performed SCS.648 persons were positive at occult blood. Among them,94persons were done TCS. Results: There were no person who had cancer in SCS goroup. Only 9 persons had adenoma. But tumor size was only under 5mm except one person. But in TCS group, three persons had colon cancer and 12 persons had adenoma. of course these persons had no sympton. in addition,6 persons have ulcerlative colitis. Conclusion: We conclud that, first of all, we shuld check occult blood. If occult blood is negative, SCS is not ncesarry. but occult blood is positive, shuld take TCS for young adulut person such as under 40 years old.
