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Colorectal cancer screening

The aim of colorectal cancer screening is to detect potential precancerous changes at an early stage.

In colorectal cancer screening, hidden blood in stool is tested. Individuals invited to screening receive a letter package at their home address, which includes an invitation letter, sampling equipment, and detailed instructions for collecting the sample. 

Eligible age groups are invited to free screening every two years. The screening will gradually expand to include all individuals aged 56–74 starting from 2032. Legislation requires wellbeing services counties to organize colorectal cancer screening for their residents. 

Watch the video: When and how do you participate in colorectal cancer screening? Produced by HUS. The instructions are intended for the regions of Uusimaa, Kymenlaakso, and South Karelia. The guidance is generally applicable throughout Finland, although details of the screening may vary. The video includes Finnish subtitles. 

Individuals invited to screening receive a letter package at their home address. It includes an invitation letter, sampling equipment, and detailed instructions for collecting the sample. 

The stool sample is collected during a toilet visit and returned to the laboratory for analysis. The letter package includes a return envelope with prepaid postage. 

The screening test result is sent home by mail. If blood is detected in the stool, the result will include instructions for arranging further examinations. The presence of blood does not necessarily indicate cancer, but further investigation is needed to determine the cause. The most common follow-up examination is colonoscopy, i.e., endoscopic examination of the large intestine. 

If the sample is negative, meaning no blood is detected, the participant will receive the next screening invitation in two years. 

There are no risks associated with colorectal cancer screening. 

Updated 28.10.2025