New Jersey’s Leader in Colorectal Cancer Screening

Countless breakthroughs in modern technology make colon cancer detection more accessible than ever. Prevention and screening tools include those that can find colorectal polyps as well as cancer—some can do both. People with certain risk factors should begin screening earlier or have screening more often.

Tests that can detect polyps and cancer examine at the structure of the colon itself to identify any abnormal areas. They are done either with a scope put into the rectum or with special imaging tests. Polyps found during these procedures can be removed, so these tests may prevent colorectal cancer.

These tests are preferred if they are available and you are willing to have them, and include:

  • Flexible Sigmoidoscopy: A thin, flexible, lighted tube with a small video camera on the end is put into the rectum to view the rectum and the lower part of the colon. If an abnormality is seen, it can be biopsied or removed. Less than half of the colon can be seen with this procedure.
  • Colonoscopy: Similar to a flexible sigmoidoscopy, a colonoscopy allows the entire length of the colon and rectum to be viewed. Any abnormalities can be biopsied or removed.
  • Double-Contrast Barium Enema: In this x-ray test, air and a chalky liquid called barium sulfate are put into the colon and rectum to outline the inner lining. If suspicious areas are identified, a colonoscopy will be recommended to explore them.
  • CT Colonography: Also known as virtual colonoscopy, this test is an advanced type of computerized tomography (CT) scan of the colon and rectum. Special computer programs create both 2D and 3D views of the inside of the colon and rectum. This exam may be useful for people who can’t—or don’t want to—have more invasive tests.

Tests that assess stool samples can detect signs of cancer. While they are less invasive and easier to have done, they are less likely to detect polyps. These include:

  • Fecal Occult Blood Test (FOBT): This test detects hidden blood in the stool through a chemical reaction, but cannot tell if the blood is from the colon or from other parts of the digestive tract.
  • Fecal Immunochemical Test (FIT): Similar to an FOBT, this test detects hidden blood in the stool, but through a different chemical reaction.
  • Cologuard® Colon Cancer Test: This exam detects hidden blood in the stool, as well as abnormal cell associated with colon cancer and precancerous polyps.

Other screening options for those who cannot have a colonoscopy for medical reasons include:

  • Yearly fecal occult blood test or fecal immunochemical test (FIT)
  • Flexible sigmoidoscopy every five years
  • Yearly stool blood test plus flexible sigmoidoscopy every five years (preferred)
  • Double contrast barium enema every five years
  • An endoscopic ultrasound also may be used. If any polyps are found they should be removed if possible.
  • While a digital rectal exam (DRE) is often done as part of a regular physical exam, it should not be used as a stand-alone test for colorectal cancer. For a DRE, the doctor examines the patient’s rectum with a gloved finger.

Talk to your doctor about your own risk and when you should have screening tests. Learn more about colon cancer diagnosis, treatment options and current clinical trials.




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Saint Barnabas Medical Center
94 Old Short Hills Road
Livingston, NJ 07039
(973) 322-5000
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Monmouth Medical Center
300 Second Avenue
Long Branch, NJ 07740
(732) 222-5200
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The Unterberg Children's Hospital at Monmouth Medical Center
300 Second Avenue
Long Branch, NJ 07740
(732) 923-7250
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Monmouth Medical Center Southern Campus
600 River Avenue
Lakewood, NJ 08701
(732) 363-1900
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Clara Maass Medical Center
1 Clara Maass Drive
Belleville, NJ 07109
(973) 450-2000
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Community Medical Center
99 Highway 37 West
Toms River, NJ 08755
(732) 557-8000
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Newark Beth Israel Medical Center
201 Lyons Avenue at Osborne Terrace
Newark, NJ 07112
(973) 926-7000
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Children's Hospital of New Jersey at Newark Beth Israel Medical Center
201 Lyons Avenue at Osborne Terrace
Newark, NJ 07112
(973) 926-7000
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Jersey City Medical Center
355 Grand Street
Jersey City, NJ 07302
(201) 915-2000
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The Bristol-Myers Squibb Children's Hospital at RWJUH
200 Somerset Street
New Brunswick, NJ 08901
(732) 828-3000
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RWJ University Hospital Hamilton
1 Hamilton Health Place
Hamilton, NJ 08690
(609) 586-7900
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RWJ University Hospital New Brunswick
1 Robert Wood Johnson Place
New Brunswick, NJ 08901
(732) 828-3000
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RWJ University Hospital Rahway
865 Stone Street
Rahway, NJ 07065
(732) 381-4200
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RWJ University Hospital Somerset
110 Rehill Avenue
Somerville, NJ 08876
(908) 685-2200
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The Jacqueline M. Wilentz Breast Center at Howell
4013 Route 9
Suite 2S
Howell, NJ 07731
(732) 923-7700
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The Jacqueline M. Wilentz Breast Center at Lakewood
600 River Ave
Lakewood, NJ 08701
(732) 923-7700
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Medical Specialty Services at Bayonne
16 East 29th Street
Bayonne, NJ 07002
(973) 926-7280
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The Jacqueline M. Wilentz Breast Center at Colts Neck
310 Route 34 South
Second Floor
Colts Neck, NJ 07722
(732) 923-7700
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The Jacqueline M. Wilentz Breast Center at Monmouth Medical Center
300 Second Avenue
Long Branch, NJ 07740
(732) 923-7700
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Cristie Kerr Women's Health Center
377 Jersey Avenue
Ground Floor, Medical Office Building
Jersey City, NJ 07302
(877) 393-5374
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Center for Breast Health and Disease Management - Westfield
560 Springfield Ave
Westfield, NJ 07090
(973) 322-7020
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Center for Breast Health and Disease Management - Metuchen
173 Essex Ave
Metuchen, NJ 08840
(732) 494-0415
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Center for Breast Health and Disease Management - Livingston
200 South Orange Avenue
Suite 102
Livingston, NJ 07039
(973) 322-7020
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Rutgers Cancer Institute of New Jersey
195 Little Albany Street
New Brunswick, NJ 08901
(732) 235-2465
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The Family Health Center (FHC) at Newark Beth Israel Medical Center
166 Lyons Avenue
Newark, NJ 07112
(973) 926-7300
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Community Medical Center Women's Imaging Center - Toms River
368 Lakehurst Rd
1st Floor
Toms River, NJ 08755
(732) 557-8146
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Barnabas Health Ambulatory Care Center
200 South Orange Avenue
Livingston, NJ 07039
(973) 322-7000
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Monmouth Medical Center Outpatient Infusion Center
100 State Route 36 West
West Long Branch, NJ 07764
(732) 923-6575
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Eric B. Chandler Health Center at Rutgers Robert Wood Johnson Medical School
277 George Street
New Brunswick, NJ 08901
(732) 235-6700
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Eric B. Chandler Health Center Church St. Annex
123 Church Street
New Brunswick, NJ 08901
(732) 235-2052
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Rutgers Robert Wood Johnson Medical Group at Monroe
800 Bunn Drive
Suite 303
Princeton, NJ 08540
(609) 655-5178
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Rutgers Robert Wood Johnson Medical Group
18 Centre Drive
Clinical Academic Building (CAB)
New Brunswick, NJ 08901
(609) 655-5178
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Cancer Center at RWJ Hamilton
2575 Klockner Road
Hamilton Township, NJ 08690
(609) 631-6960
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RWJUH Lab Services at Rutgers Cancer Institute of New Jersey
195 Little Albany Street
First Floor
New Brunswick, NJ 08901
(732) 937-8588
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Rutgers Robert Wood Johnson Medical School
125 Paterson Street.
Clinical Academic Building (CAB)
New Brunswick, NJ 08901
(732) 235-6200
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