07-14-2009, 01:24 PM
50 yr old man, undergoes screening colonoscopy,3 polyp found, one polyp was 3 cm.
When is next colonoscopy scheduled
a) 53
b) 55
c) 57
d) 60
When is next colonoscopy scheduled
a) 53
b) 55
c) 57
d) 60
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Next colonoscopy when ? - harry206
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07-14-2009, 04:03 PM
your questions are good like nimish short and sweet....testing imp concepts...
thanks.... keep going
07-14-2009, 07:00 PM
Well, first of all, its important to know the pathology of those polyps. Nevertheless, considering no invasion of the muscularis mucosa, etc, and benign polyps, the next colonoscopy should be in 5-10 years. Nevertheless, for dysplastic polyps, 3-5 years. In general, I think it was a poorly written question. We need a lot more information to rule-in or ruleout CA and manage the patient accordingly.
07-15-2009, 06:46 AM
@amrek
Explanation: High risk pt should have repeat colonoscopy in 3yr High risk pt includes: - Large polyp (>2 cm) - Multiple adenomatous polyp (>2) - Villous adenoma - High grade dysplasia or noninvasive cancer at initial colonoscopy |
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