Question:

Screening is NOT useful in which of the following carcinomas?

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Which of these is an uncommon malignancy with no validated population screening test?
Updated On: Jun 23, 2026
  • Carcinoma prostate
  • Carcinoma colon
  • Carcinoma breast
  • Testicular tumor
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The Correct Option is D

Solution and Explanation

Answer: Testicular tumor.
Step 1: A screening test is offered to asymptomatic people to detect a cancer early, so it only pays off when the cancer is common, has a detectable preclinical phase, and a reliable, cheap test exists.
Step 2: The three common cancers listed all have validated screening tools. Breast: mammography (plus clinical and self examination, MRI in high risk). Colon: FOBT, FIT, fecal DNA, sigmoidoscopy, colonoscopy, CT colonography. Prostate: PSA and digital rectal examination.
Step 3: Testicular tumor is uncommon and lacks any cost effective population screening test. There is no recommended screening program for it, so it is the exception. Routine testicular self examination is not endorsed as a screening measure by major guidelines.
Ref: Park's Textbook of Preventive and Social Medicine.
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