[French national cancer screening programs: What does the future hold?]

French national cancer screening programs : what does the future hold? Three organized screening programs are in place or being rolled out in France for breast, colorectal and cervical cancers. Short or medium-term developments aim at facilitating the integration of technological or organizational innovations and at meeting the quality and safety requirements of the screening procedure. However, the stakes differ between the different programs. It is for the screening of breast cancer, the oldest program, the integration of technological innovations, such as breast tomosynthesis -3D- and dematerialization of mammograms, and the renovation of the program in order to propose a personalized follow-up, better coordinated and with an increased involvement of general practitioners. For colorectal cancer, given that a highly effective screening program using a fecal immunological test has been rolled out in 2015, the challenge is now to increase participation, which is too low -35%-, in order to improve the impact of the program. The cervical cancer screening program, whose opportunistic practice is already widespread, is currently being deployed ; it aims to reduce inequalities in access to screening by sending invitations to women who have not been tested in the last 3 years; the sampling will be performed in liquid phase which allows to anticipate a future migration to the HPV test.