Anyone have a positive Cologuard test?

Posted by dazlin @dazlin, Nov 21, 2019

My test results came back positive. I asked what did it show, because they test for 11 different cancers or categories. They said, it just states either negative or positive for cancer. I had problems a few years back and did a colonoscopy, which came back ok. Now this!! I'm reading theres a 13 percent chance of false positive. Right now I'm extremely distraught about having to go through all Consults, tests, and dreaded preps. Orders are in for Consult with gastro, but they're booked out through January or February in Mayo. I have not received any notice for appointment yet. Dont know what to think or do.

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@melelliott50

im 50 years old i did my 1st cologuard test and it came back abnormal i have a consoltation april 1 and im scared any good advice

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Cologuard is a screening test which is a fast, easy and non-invasive test but is subject to error and false positives. It's purpose is early detection of cancer and pre-cancerous polyps. Because it is subject to false positives, the standard of care of a positive case is to do a colonoscopy to take a look at the rectum/colon and take biopsies of anything suspicious. Often small polyps are excised during the colonoscopy.

While it's hard, don't panic. Wait until you've had the colonoscopy and gotten results back.

The big fear is colon cancer - advances have made this curable for the vast majority of patients.

You can handle this, be concerned, but don't panic.

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@verol65

@melelliott50, it is scary to get a positive result. Your doctor will most likely ask you to get a colonoscopy since that is still the golden standard of care to find polyps and/or CR cancer. Try to think positively: it might be a false positive; if not, it will probably have allowed you to find the cancer at an early stage with the best chance possible of a successful treatment that would not need to be so heavy.
Sending a hug.

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Everything Vero says is true.

I wish to add that colon cancer is very much treatable and survivable - even an advanced case like mine which was detected via Cologuard followed by a colonoscopy back in January 2021.

In short, don't panic, but get that colonoscopy soon. It's helpful to get facts from reliable sources on the internet - facts help to dispel fear.

I read of a new test being researched that is better and it's 85% accurate per early tests. This one is years off before we see it available, but the implication is that the Cologuard test isn't all that effective/accurate or they wouldn't be working to replace it with something better.

More on the Cologuard test:

"Cologuard can detect 92% of cancers but only 42% of large precancerous polyps. In other words, no, it is not accurate, especially when it comes to preventing cancer by detecting polyps."

"While it is better at detecting cancer than FIT (74% vs 92% for FIT test vs Cologuard), the false positive rate is higher. The Cologuard false-positive rate is 13%, and that rate increases as people age."

Source: https://www.gastroconsa.com/the-truth-about-cologuard-tests/

Hope that helps.

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@melelliott50

i turned 50 in may and i just did my 1st cologuard test and it came back positive i have a consolt with doctor on mon and im scared

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@melelliott50, it is scary to get a positive result. Your doctor will most likely ask you to get a colonoscopy since that is still the golden standard of care to find polyps and/or CR cancer. Try to think positively: it might be a false positive; if not, it will probably have allowed you to find the cancer at an early stage with the best chance possible of a successful treatment that would not need to be so heavy.
Sending a hug.

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@ellen15

Yes. I have a family history of colon cancer, and I should get a colonoscopy, but I have a terrible fear of anesthesia - so, I do FIT and COLOGUARD tests yearly.

This was the first time one came back positive (cologuard) and I had to schedule a follow up colonoscopy. It was a tense month waiting for an appointment for the test, to say the least. My colonoscopy was called normal. One small hemorrhoid and no polyps.

I will not criticize the Cologuard or FIT tests, as I probably would not have ever just gone in for a routine colonoscopy. The false positive was a blessing.

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So how did the sedative go?

you mentioned you were scared of that.

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@melelliott50

im 50 years old i did my 1st cologuard test and it came back abnormal i have a consoltation april 1 and im scared any good advice

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There’s a whole thread on this question “ Anyone have a positive Cologuard test?” with many replies!

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im 50 years old i did my 1st cologuard test and it came back abnormal i have a consoltation april 1 and im scared any good advice

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i turned 50 in may and i just did my 1st cologuard test and it came back positive i have a consolt with doctor on mon and im scared

REPLY
@ellen15

Yes. I have a family history of colon cancer, and I should get a colonoscopy, but I have a terrible fear of anesthesia - so, I do FIT and COLOGUARD tests yearly.

This was the first time one came back positive (cologuard) and I had to schedule a follow up colonoscopy. It was a tense month waiting for an appointment for the test, to say the least. My colonoscopy was called normal. One small hemorrhoid and no polyps.

I will not criticize the Cologuard or FIT tests, as I probably would not have ever just gone in for a routine colonoscopy. The false positive was a blessing.

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Great news! I too was very concerned about the colonoscopy and that delay gave me Stage 3 cancer. It's likely that the FIT missed it but the Cologuard picked it up.

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Yes. I have a family history of colon cancer, and I should get a colonoscopy, but I have a terrible fear of anesthesia - so, I do FIT and COLOGUARD tests yearly.

This was the first time one came back positive (cologuard) and I had to schedule a follow up colonoscopy. It was a tense month waiting for an appointment for the test, to say the least. My colonoscopy was called normal. One small hemorrhoid and no polyps.

I will not criticize the Cologuard or FIT tests, as I probably would not have ever just gone in for a routine colonoscopy. The false positive was a blessing.

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@heiditidy

I just received a positive result from a Cologuard test. I had no symptoms, but my doctor advised I do a screening since my last colonoscopy was 15 years ago, at age 50. Just learned that my insurance will only cover one preventative screening test per year, so now I have to pay a $1000 deductable and 20% co-pay for the "diagnostic" colonoscopy. I really wish my doctor had informed me of this before saying Cologuard was fine for me to do. I take a lot of ibuprofen for arthritis, so I suspect that is the reason for any blood found, but guess I'll find out soon enough. Sometimes I think all the majority of the screening tests we have to do just result in more unnecessary tests and more money for doctors. I know they help some detect cancer early but for most, they do not.

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As I understand, a positive Cologuard results in only 5% of the cases actually being cancer as determined by the colonoscopy. The FIT test looked only for blood in stool, the Cologuard detects blood AND tumor DNA. So it is much better

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