Fast tracking approach to cancer early detection in Sri Lanka

Abstract

The National Strategic Plan (2020-2024) of the National Cancer Control Programme, Sri Lanka directed the establishment of island wide Cancer Early Detection Centers (CEDC) in all provincial hospitals, aiming to avoid some of the delays for diagnosis of cancer patients in all age groups in Sri Lanka. These one-stop centers provide cancer diagnosis to detect, confirm and refer without long a referral pathway to a treatment center. The services provided these centers are consult a doctor to discuss cancer related issues, identify and education on risk factors and obtain guidance on the need to screen and prevent common and preventable cancers including individual counseling for risk factor reduction and post diagnosis. Further, it facilitates screening for Breast Cancer which includes clinical-breast examination, ultrasound scanning and mammography depending on the clinical assessment. The clinical oral examination for all high-risk target groups and educated on self-mouth examination. Screening for cervical cancer for necessary women via pap test and the HPV DNA test is carried out depending on the clinical assessment. These centers provide fast track method for early detection of cancers.