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* colon ca
 #852119  
  varshith - 06/13/18 02:36
 
  A healthy 32-year-old patient presents to you asking
about screening tests for colon cancer. He reports that his two
older sisters had colon cancers at age 40 and 42 years, his mother
had colon cancer at age 40 years and endometrial cancer at
age 45 years, and a maternal aunt had breast cancer at a young
age. He notes there is no history of colon polyps in any family
member. You recommend he undergo:
a. Annual fecal occult blood testing
b. Colonoscopy now and subsequently every 1 to 2 years
because his risk for colon cancer is very high
c. Colonoscopy with random biopsies to look for inflammatory
bowel disease; if not present, he should follow routine
screening recommendations for average-risk Americans
d. Prophylactic colectomy
e. Reassurance only because no polyps were found in family
members
 
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