Expanding Cancer Screening With the Cancerguard® Test

Women First is now offering the Cancerguard® test: a new option to support your cancer screening routine.

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Your routine cancer screenings look for one type of cancer at a time. Examples include a mammogram or a colonoscopy.

The Cancerguard® test is a new option to expand upon routine cancer screening. It uses a simple blood draw to detect many types of cancer.1 Cancerguard® is a complement to your routine screenings. It does not replace them.

Most types of cancer don’t have recommended screening options, such as pancreatic, ovarian, or liver cancer.2* The Cancerguard® test can help detect these cancers and more even before symptoms appear.1

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When to Ask Your Doctor About Cancerguard®

You may want to ask about the Cancerguard® test if any of the following apply to you:

  • You take a proactive approach to your health
  • You have certain risk factors, such as smoking, alcohol use, or obesity†
  • You have a family history of cancer or a known hereditary risk, such as BRCA or Lynch syndrome†

This test is not recommended for individuals who have had cancer within the past three years or who are pregnant, and it does not replace recommended screening. Cancer survivors who are at least 3 years post diagnosis may benefit from expanded screening. Up to 1 in 6 survivors may develop a second primary cancer, and incidence is growing.³

How the Cancerguard® Test Works

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  1. Talk with your healthcare provider about the test. If it’s right for you, they can order it.
  2. You complete a simple blood draw.
  3. Your blood sample is sent to Exact Sciences, the maker of the Cancerguard® test, to analyze for cancer signals.
  4. Results are ready in about 2 weeks for you to review with your healthcare provider.

Interested in the Cancerguard® Test?

If you’d like to know whether the Cancerguard® test may be right for you, talk with us during your next visit or contact Women First here.

*Cancers that have guideline-recommended screening: breast, cervical, colorectal, and lung (high risk).

†Performance of the Cancerguard® test in these populations has not been evaluated. Providers should use their clinical discretion when identifying patients for screening with the Cancerguard® test.

References:

  1. Cancerguard® Clinician Brochure. Exact Sciences Corporation. Madison, WI.
  2. United States Preventive Services Task Force. A and B recommendations. Published 2022. https://uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations
  3. Sung JJ, Ahn AR, Park HS, et al. Incidence and pattern of second primary cancer in patients diagnosed with primary cancer. Oncol Lett. 2024;28(3):535.

IMPORTANT INFORMATION ABOUT THE CANCERGUARD® TEST

Rx only. Talk to your healthcare provider to determine if this test is right for you.

The Cancerguard® test is indicated for use in adults ages 50-84 with no known cancer diagnosis in the last three years. It detects alterations in circulating tumor DNA and tumor-associated protein levels which are commonly associated with cancer. The test does not detect all cancers and is not a replacement for existing recommended cancer screening or diagnostic modalities for cancer. Current recommended screening for cancer should also be followed. The test is not indicated for screening of breast and prostate cancer and was not evaluated for the detection of pre-cancerous lesions.

Due to the potential for follow-up imaging with IV contrast CT after a positive test result, careful consideration should be given before ordering the Cancerguard® test for patients with a history of adverse reactions to iodine based IV contrast or for women who are, may be, or plan to become pregnant.

Results should be interpreted in the context of the patient’s medical history, clinical signs, and symptoms. A negative result does not rule out the presence of cancer of any type. A positive Cancerguard® test result means that the blood test identified a cancer signal that may indicate the presence of cancer. This result alone does not confirm the presence of cancer.

Further clinical evaluation by a healthcare provider (which may include blood tests such as complete blood count and comprehensive metabolic panel) and follow-up imaging are needed to locate and confirm a diagnosis of cancer or determine that cancer is not present. While there are no established guidelines for imaging following a positive Cancerguard® test result, there is a published follow-up workflow based on expert clinician opinion and results from an exploratory, prospective, interventional study [Kisiel et al Life (Basel) 2024 Jul 24; Lennon et al, Science, 2020]. The proposed workflow in the Kisiel et al publication includes an intravenous-contrast enhanced computed tomography (IV contrast CT of chest, abdomen/pelvis, and soft-tissue neck) and if necessary, positron emission tomography-computed tomography (18F FDG PET-CT) from the skull-base to mid-thigh. Alternative follow-up procedures (e.g. targeted imaging, endoscopic procedures, CT without IV-contrast) may be appropriate in the context of the patient’s medical history and clinical evaluation [Lennon et al, Science, 2020].

False positive and false negative test results can occur. The Cancerguard® test was developed, and the performance characteristics validated by Exact Sciences Laboratories following College of American Pathologists (CAP) and Clinical Laboratory Improvement Amendments (CLIA) regulations. This test has not been cleared or approved by the US Food and Drug Administration. The test is performed at Exact Sciences Laboratories. Exact Sciences Laboratories is accredited by CAP, certified under CLIA regulations, and qualified to perform high-complexity clinical laboratory testing.

Exact Sciences and Cancerguard® are registered trademarks of Exact Sciences Corporation. ©2026 Exact Sciences Corporation. All rights reserved. M-US-CAG-00760 1/2026.

Is it Time to Schedule Your Annual Wellness Exam?

Your annual women’s health appointment is a vital part of your health care, and the perfect time to talk to your Care Team about your personal health questions.

Is it Time to Schedule Your Annual Wellness Exam?

What People Are Saying

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Lauren Hayes
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Ultrasound tech, Emma, was phenomenal! She was so compassionate and took her time to make our experience great. We really appreciate the care she took during our ultrasound.
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Sidney
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Highly recommend! From the moment I walked in to the moment I walked out, my care was thoughtful, caring, and the furthest thing from feeling dismissed at a doctor’s office. Ellie did a wonderful job making me feel heard, comfortable and validate what I had been experiencing. For a first visit, I left feeling reassured and grateful that I chose this office.
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Charisa McMahon
21 July 2026
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I highly recommend Audrey Fenwick. She truly takes the time to listen and never makes me feel rushed during my appointments. I always feel like my concerns are heard and taken seriously. What I appreciate most is that she’s willing to explore different treatment options rather than taking a one-size-fits-all approach. She works with me until we find a plan that we’re both comfortable with, and I always leave feeling confident that I’ve received thoughtful, personalized care. It’s refreshing to have a healthcare provider who is knowledgeable, compassionate, and genuinely invested in helping her patients feel their best.
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Amy Curry
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Dr. Shannon was a great provider during my last pregnancy with twins! She answered every question I had, kept me in the loop on all the clinical decisions and options I had available, and made me feel safe and heard during all of my interactions with her and her staff. All of the staff at Women’s first always took great care of me and my babies no matter what concern I had at the time.
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They are always all so nice and welcoming. I just love Brook McAfee, APRN, she is awesome!
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Robin
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Dr Grider is the best Doctor. Very thorough, kind and personable!
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Cathy Carter
4 June 2026
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I cannot tell you how pleased I am with the services provided by Dr. Anne L. Oliphant and the staff at Women First of Louisville. Dr. Oliphant and staff exhibit outstanding professionalism, punctuality and courtesy. I highly recommend Dr. Oliphant based on the fact that she is an exceptionally skilled and compassionate physician who truly takes the time to listen to her patients. Throughout my appointments, she and the staff made me feel completely at ease. She thoroughly explained my diagnosis and patiently answered all my questions without ever making me feel rushed. I had to do bloodwork during my last appointment. The clinicians and staff were especially friendly and professional as well. Dr. Oliphant’s, and the staff’s, empathetic bedside manner and clear communication elicit standout medical providers in the specialized field of menopause medicine. I believe that Dr. Oliphant has really listened to my concerns and has taken the time to support my health journey. I highly recommend her and the staff to anyone seeking personalized and highly effective care.
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Nancy Nance
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I have been a patient here for over 25 years. The best of care for any need I have had ! Simply the best !
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Kim Goff
12 May 2026
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The care I've received at Women First of Louisville has been outstanding for over 15 years. It is amazing that such a large practice can be so efficient, organized, and caring all at the same time. For my annual checkups, I am able to schedule my mammogram and provider visit together. Pre-check in means I simply sign in and within a minute or two I'm called for my mammogram. Another 2-5 minute wait and I'm with a friendly, knowledgeable technician who completes the mammogram with a smile and a caring attitude. In 10 minutes, I am back in the waiting area and immediately called back for vitals by another friendly professional assistant. Within 5-10 minutes I am in the exam room and my provider, Heather McLennan, arrives. Here is where the appointment is less about efficiency and more about the care she provides to me. Heather always takes the time to speak with me...asking questions about my life, my health and my concerns. These are not just a check list. She listens. She smiles. She looks me in the eyes and participates in a conversation with me that makes me feel like she cares and understands. Her exam is gentle but thorough. I often have a question about recent research or options and she gives me her honest opinion based on facts. I completely trust her and the other women in all aspects of this practice. **A few years ago I did have a less than stellar experience with an assistant who took my vitals. She was dismissive and sloppy and made me feel uncomfortable when I didn't understand her questions. After I shared this experience with the check out staff, the office manager called me the same day for details, an apology and guarantee that the practice would address this as a training issue that would hopefully correct it. I've not seen or heard anything like it since. I am 100% satisfied with the care I receive at Women First of Louisville. I highly recommend you consider them for your healthcare needs.
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Carly Garcia
11 May 2026
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Dr. Lauren Lewis is fabulous! She is extremely kind and patient, and she genuinely cares about those in her care. I felt very comfortable during my first appointment with her and have already recommended her to a friend!