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  #1  
Old 07-17-2011
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GIT First colonoscopy, at what age?

A 30 year old woman presents to your office for routine check up. On questioning she comments that her father was diagnosed with colon cancer at 45 years of age. The patient has never had polyps and does not suffer from diarrhea, constipation, or bloody stools. The patient is nervous about screening and wants to delay as long as possible. According to current recommendations, when should she have her first colonoscopy?

A. 30 years old
B. 35 years old
C. 40 years old
D. 45 years old
E. 50 years old
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  #2  
Old 07-17-2011
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at 35 yrs I guess.
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Old 07-17-2011
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B. 35 years old
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Old 07-17-2011
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Answer is b since patients first degree relative is suffering from cancer that too at younger age...so it increases her risk...so she should have colonoscopy done at 10 yrs earlier than diagnosed age of her father since she is asymptomatic so i think 35y....
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Old 07-18-2011
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I will also go with B
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Old 07-18-2011
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Asymptomatic + 1 relative = 10 years before the relatives diagnosis OR age 40 ( whatever comes first)

If multiple family members think lynch then at 25 yrs then every year

FAP age 12 and yearly till find polyp then procto-colectomy as 100% cancer chance

Normal screening is age 50 then every 10 yrs
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  #7  
Old 07-18-2011
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The correct answer is B. The current recommendations are for patients to receive their first colonoscopy at age 50 if there is no family history of colorectal cancer. If there is a family history of cancer in first degree relative or multiple second degree relatives, colonoscopy is recommended at age 40 or 10 years before the age when the youngest first degree relative was diagnosed (whichever comes first).
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Old 11-24-2011
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Since the father developed Ca colon before the age of 50 (premature), the possibility of HNPCC should be considered, & in that case screening should start at age of 25.
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Old 11-24-2011
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Quote:
Originally Posted by ag2011n View Post
Since the father developed Ca colon before the age of 50 (premature), the possibility of HNPCC should be considered, & in that case screening should start at age of 25.
Well, I dont think we have enough information here to say that this is HNPCC.
In any case, the screening of HNPCC families generally should begin at least 5 to 10 years before the youngest age at cancer diagnosis in an affected family member or no later than age 21 years.
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  #10  
Old 11-24-2011
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B is correct.
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