As a healthcare provider, your recommendation impacts your patient's decision to participate in cancer screening. The CancerCare Manitoba Screening Program Screening Guidelines aim to ensure individuals receive the greatest benefit from cancer screening while minimizing the potential harms. We encourage healthcare providers to facilitate this discussion with patients to:
To support your patient discussions we publish education and health promotion resources. Click here to order resources online. Below is a list of information to assist you in facilitating an informed decision-making process for each screening test.
Reduced cancer mortality
Randomized controlled trials have demonstrated that early detection through routine screening can reduce mortality from colorectal cancer (FOBT) by up to 25% and from breast cancer (mammograms) by 20-30%. Observational data have shown up to an 80% decrease in cervical cancer mortality following the introduction of organized Pap screening.
Decreased cancer incidence
Diagnostic follow-up of abnormal cervical and colorectal screening test results can prevent those cancers by detecting, treating, or removing pre-cancerous cells.
Enhanced treatment options
Screening can detect cancer at an earlier stage, which may result in simpler treatment, more treatment options, and/or less need for radiation and chemotherapy.
False positive screening tests can result in unnecessary and potentially invasive follow-up.
False negative screening tests can result in missed cancers, dysplasia, and potential delays in diagnosis and treatment.
Detecting conditions that may not have become clinically significant in a patient's lifetime (over diagnosis) may result in unnecessary intervention and/or treatment.
While cancer screening is effective in reducing mortality, interval cancers do occur. Encourage patients to revisit their healthcare provider if they notice any symptoms, even if their most recent screening test result was negative.
Although typically less invasive than a diagnostic test, the screening test may cause anxiety and/or discomfort or pain (mammogram and Pap), bleeding (Pap), and radiation exposure (mammogram). A follow-up (diagnostic) test for a patient with a positive screening result may result in unintended complications such as:
To read more about further testing, click here.
To read more about results and follow-up tests, click here.
For more information about follow-up testing, click here.
Clients can request a home screening test through ColonCheck by:
CervixCheck partners with health care providers to offer increased access to cervical cancer screening 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 Cervical Cancer Screening Clinic with CervixCheck your clinic's cervical cancer screening services will be listed on our website. Your participation helps increase cervical cancer screening test access for Manitoban women.
Colposcopy referrals are required in the following cases:
Colposcopy identifies sub-clinical abnormalities of the cervix using a binocular scope with a high density light. Identification of abnormalities are based on epithelial density (white epithelium) and vascular patterns (punctation,etc.).
Using these parameters, an area of abnormality can be identified in order to direct a tissue biopsy by one of the following methods:
If you have a patient in need of a referral to colposcopy, below is a list of colposcopists to whom you can refer.
620 Dennis Street, Brandon MB, R7A 5E7
Dr. O. Akintola�
Dr. B. Nevo
Dr. A. Kasi
Southbridge Medical Clinic
Unit C-1340 10th Street
Brandon MB, R7A 6Z3
Dr. M. Rutherford
Dr. J. Shirley
162 La Verendrye Avenue
PO Box 2500
Churchill MB, R0B0E0
Dr. A. Altman
Dauphin Medical Clinic
622-3rd Street SW, Dauphin MB, R7N1R5
Dr. K. Pernarowski
100-140 9th Street SE, Portage la Prairie MB, R1N 3V5
Dr. J. Grenier
Norway House MB, R0B1B0
Dr. A. Altman
15 Wersch Street, PO Box 400, Selkirk MB, R1A 2B2
Dr. S. Ziaei Saba
The Pas Health Complex
67 First St. West, Box 240, The Pas MB, R9A 1K4
Dr. Z. Al Moumen
Northern Consultation Clinic
871 Thompson Drive South, Thompson MB, R8N 0C8
Dr. L. Azzam
Dr. A. Mustafa
C.W. Wiebe Medical Centre
385 Main Street, Winkler MB, R6W1J2
Dr. S. Alhayjaa*
Dr. A. Dyson*
Dr. L. Majeau*
Dr. R. Noble*
*NOTE: Drs. Alhayjaa, Majeau, Noble and Dyson perform colposcopies at Boundary Trails Health Centre, but all referrals, pre-op visits and post-op follow-ups are completed at C.W. Wiebe Medical Centre
Corydon Gynecology & Family Planning Clinic
102-1001 Corydon Avenue, Winnipeg MB, R3M 0B6
Dr. M.L. Boriditsky
DC Obstetrics & Gynecology
47 Marion Street, Winnipeg MB, R2H 0S8
Dr. A. Awadalla
Dr. R. Crow
Dr. K. Luhning
Health Sciences Centre
WN1-1503 665 William Ave., Winnipeg MB, R3E 0L8
Dr. A. Altman
Dr. E. Dean
Dr. S. Kean
Dr. S. Popowich
Dr. L. Roberts
Dr. C. Robinson
Keewatin Medical Centre
6 & 7-998 Keewatin St. Winnipeg MB, R2R 2V1
Dr. P.K. Debnath
Millennium Medical Centre
311 Balmoral Street, Winnipeg, MB R3C 4A5
Dr. G. Lefas
Dr. P. Klippenstein
Dr. L. Waters
McPhillips Medical Clinic
5-198 McPhillips Street, Winnipeg MB, R3E2J9
Dr. A. Maksymowicz
Scurfield Medical Centre
201 Scurfield Blvd., Winnipeg MB, R3Y 1A5
D. R. Gertenstein
St. Boniface Clinic
343 Tache Avenue, Winnipeg MB, R2H 2A5
Dr. H. Benning
Dr. E. Markstrom
Sterling Obstetrics & Gynecology
Unit 304-1020 Lorimer Blvd., Winnipeg MB, R2P1C7
Dr. V. Lee
Dr. H. Diamond
Dr. C. Corbett
425 St. Mary Avenue, Winnipeg MB, R3C 0N2
Dr. Z. Al Moumen
Dr. D. Dubyna
Dr. H. Azzam