Screening

Cancer screening

Québec programs

Québec is the clinic default. Canada is comparison. Open the per-cancer page for exclusions.

  • MSSS Ministère de la Santé et des Services sociaux
  • INESSS Institut national d'excellence en santé et services sociaux
  • CTFPHC Canadian Task Force on Preventive Health Care
DecisionGuideline
Cervical
Differs
Primary HPV from 25 every 5 years where the lab has switched. Pap from 21 every 2 to 3 years in Montreal (regional table 15 Jun 2026).
  • Opportunistic.
  • No invitations.
  • Home HPV kits not available.

Test VPH opens in a new tabCervical cancer screening opens in a new tabPap test opens in a new tab

Cytology every 3 years from 25 to 69.

CTFPHC 2013 opens in a new tab

Breast
Differs
PQDCS mammography every 2 years, ages 50 to 74.
  • Invitation letter is the prescription.
  • No letter: CCSR or MD/IPS prescription.
  • Under 50 needs discussion and a prescription, not a letter.

PQDCS opens in a new tabEligibility opens in a new tab

2018: do not systematically screen 40 to 49. Screen 50 to 74 every 2 to 3 years. 2024 draft never finalized.

CMAJ 2018 opens in a new tab

Colorectal
Differs
Average-risk FIT (RSOSi) every 2 years, ages 50 to 74.
  • Family-risk paths start at 40.
  • Opportunistic.
  • Clic Santé or 1-877-644-4545 if no family physician.

MSSS PQDCCR opens in a new tab

Against colonoscopy as a screening test. FIT or gFOBT every 2 years, or flexible sigmoidoscopy every 10 years, 50 to 74.

CTFPHC 2016 opens in a new tab

Lung
Differs
Refer ages 55 to 74 who smoked 20 years or more to CCSR. Do not order a community screening LDCT. AH-791 or the person calls CCSR.

Professionals opens in a new tabCCSR list opens in a new tab

30 pack-years, quit under 15 years, up to 3 annual scans, expert centres.

CTFPHC 2016 opens in a new tab

Prostate
Differs
Do not systematically offer PSA.If requested: ages 55 to 69 with life expectancy more than 10 years, after shared decision.
  • INESSS tool.
  • No program.

INESSS APS opens in a new tabOutil (PDF) opens in a new tab

Against PSA at all ages (strong under 55 and at 70 or over, weak 55 to 69).

CTFPHC 2014 opens in a new tab

Reviewed 24 August 2026 against the official sources below.

Sources