Cancer Screening Information for Healthcare Providers

BreastCheck, CervixCheck and ColonCheck are the population-based screening programs operated by CancerCare Manitoba. Our goal is to reduce the rates of incidence and mortality from breast, cervical and colon cancers by screening eligible Manitobans at intervals that maximize the benefit and minimize the potential harms of each screening test. To read more about us, click here.

• Program Operations 
• Reports 
• Education & CME
• Supporting Patients
• Colposcopy
• Pap Test Clinic Registration
• Resources
• Contact the Screening Programs
• Screening for Other Cancers

Save the Date: March 21, 2019

ColonCheck will be hosting a webinar over lunch entitled: Don't Just Sit There: Colorectal Cancer Screening Recommendations for Average & Increased Risk Populations. Registration to come.

BreastCheck Mobile Mammogram Clinics

BreastCheck mobile clinics are not in operation at this time. Eligible clients are invited to book a mammogram at one of our other clinics call 1-855-95-CHECK. Check back to this site for updates.

CervixCheck Provider Numbers

Registered Nurses (RNs), Physician Assistants (PA), and Clinical Assistants (CL.A) should obtain a CervixCheck Provider Number at such point cervical cancer screening becomes part of their practice. The CervixCheck Provider Number identifies the specimen taker on the cytology requisition form, and links them to the cervical cancer screening test (i.e. Pap test) and any subsequent follow-up. To request a CervixCheck provider number click here.

The Pap Test Learning Module is a resource for all healthcare providers in Manitoba seeking to:

• initiate learning about cervical cancer screening and competency to perform Pap tests,
• mentor colleagues to become competent in screening for cervical cancer, and/or
• review current research, details and techniques about cervical cancer screening in Manitoba.

CLICK image to view entire module.

• Randomized controlled trials (RCT) have demonstrated a 21% reduction in deaths from breast cancer among women who are screened. For women screened through BreastCheck the reduction was 23%.
• Detecting cancer at an early stage may result in simpler treatment, more treatment options, and less need for chemotherapy.
• May provide peace of mind knowing cancer was not found on a screening mammogram.

• False positives.
• False negatives.
• Screening and follow-up may cause anxiety.
• Overdiagnosis. Screening may result in detection of conditions which may not have become clinically significant in a patient's lifetime and may result in unnecessary interventions and/or treatment.
• Discomfort or pain from the mammogram.
• Radiation exposure.

• Diagnostic mammogram
• Ultrasound
• MRI
• Biopsy
• Surgical consultation

To read more about further testing, click here.

• Clients are encouraged to call 1-855-95-CHECK to make a screening mammogram appointment. No referral is required.
• Clinicians can also refer eligibile clients age 50-74 who are unlikely to make their own appointment. Clinicians can complete this form (pdf) and fax to BreastCheck.
• There are 4 fixed screening mammography clinics in Winnipeg, Thompson, Brandon and Morden/Winkler. To view when the BreastCheck mobile will be in or nearby your community, click here.

• Observational data have shown declines of up to 80% in cervical cancer mortality following introduction of organized screening with Pap tests.
• Cervical dysplasia can be removed with procedures during colposcopy.
• Detecting cancer at an early stage may result in simpler treatment, more treatment options, and less need for chemotherapy.

• False positives.
• False negatives.
• Screening and follow-up may cause anxiety.
• Discomfort or bleeding may result from the Pap test or colposcopy.
• Treatment with cold knife conisation and large loop excision of the transformation zone (LLETZ) may increase a woman's risk for pre-term delivery, low birth, caesarean section, and premature rupturing of membranes.

• Colposcopy - Manitoba Colposcopists/Colposcopy Clinics (pdf)
• Biopsy
• Loop Electrosurgical Excision Procedure (LEEP)
• Cryosurgery
• Laser surgery

To read more about results and follow-up tests, click here.

Colposcopy

• Clients are encouraged to make an appointment with their regular healthcare provider.
• Clients can also visit our website or call 1-855-95-CHECK to find a Pap test clinic.
• If you would like to host a Pap test clinic, register with CervixCheck using the form below.

CervixCheck partners with health care providers to offer increased access to Pap test services across Manitoba. Clinics may offer service by appointment, walk-in or both and are encouraged to do so as frequently as their resources allow.

By registering your Pap clinic with CervixCheck your Pap test services will be listed on the ‘How do I get checked?' page on our website. Your participation helps increase Pap test access for Manitoban women.

Note:

• Notify CervixCheck if any of your Pap test clinic or contact details change.
• The site contact will be contacted 1x per year to confirm all Pap test clinic information.
• An email confirmation will be sent once your registration is received and posted on the website.

• RCTs have shown regular screening with the FOBT can reduce deaths from colorectal cancer (CRC) by up to 25%.
• Polyps and other abnormal tissue can be removed during a colonoscopy.
• Detecting cancer at an early stage may result in simpler treatment, more treatment options, and less need for chemotherapy.

• False positives.
• False negatives.
• Screening and follow-up may cause anxiety.
• Colonoscopy, recommended for individuals with a positive FOBT result, can cause bleeding and perforation of the colon.

• Colonoscopy (English |  French)
• Biopsy

For more information about follow-up testing, click here.

Clients can request a home screening test through ColonCheck by:

• online request, or
• calling 1-855-95-CHECK.