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FIT Test Screening for Colorectal Cancer

 
Fecal immunochemical testing (FIT) will be available through Rochester General Hospital Laboratory, ACM Medical Laboratory, and Newark Wayne Community Hospital Laboratory.
 
Why use FIT for colorectal cancer screening?
  • More sensitive and specific than guaiac
  • Requires only one specimen
  • Better patient compliance
  • No dietary restrictions
  • Acceptable screen for patients who cannot or will not undergo colonoscopy
Limitations of FIT
  • Indication limited to colorectal cancer screening
  • Not as good as colonoscopy for detecting colonic neoplasms
  • Not useful for gastric or small intestinal bleeding
 Ordering Guidance
  • Colorectal cancer screening
    • FIT Test X1 (preferred for reasons listed above) or
    • Guaiac X3 (Note: invalid screen if fewer than 3 cards are received and tested)
  • Evaluation for occult GI bleeding from upper or lower GI tract
    • Guaiac X1
  Questions- please call
  • RGH & Newark Lab Client Services (585) 922-LABS
  • ACM Lab Client Services (585) 429-2300
 
                                                  
John D’Souza, MD                                                           Dawn Riedy, MD
VP of Medical Affairs & Chief Medical Officer                      Chair, Dept of Pathology & Lab Medicine
ACM Medical Laboratory                                                   Rochester General Hospital
 
 
 
 

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