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IAL Case #3: Colon Cancer

IAL Case #3: Colon Cancer. Stephanie Hattoy & Lindsey Lemke. Question #1. What are the risks for colon cancer? Describe screening recommendations. Risk for Colon Cancer. Average risk Age ≥ 50 No history of adenoma No history of inflammatory bowel disease Negative family history.

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IAL Case #3: Colon Cancer

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  1. IAL Case #3: Colon Cancer Stephanie Hattoy & Lindsey Lemke

  2. Question #1 • What are the risks for colon cancer? • Describe screening recommendations

  3. Risk for Colon Cancer • Average risk • Age ≥ 50 • No history of adenoma • No history of inflammatory bowel disease • Negative family history

  4. Screening Recommendations: Average Risk

  5. What is a Colonoscopy? http://www.youtube.com/watch?v=LpaEWpYUdDQ

  6. Risk for Colon Cancer • Hereditary high risk • Colorectal cancer at ages <50 or clustering of colorectal cancer or HNPCC related cancers in the family, or personal or family history of polyposis • Polyposis syndromes • HNPCC

  7. Risks for Colon Cancer, cont. • Increased risk: • Personal History • Adenoma • Colorectal cancer or endometrial/ovarian cancer age < 60y • Inflammatory bowel disease

  8. Screening Recommendations:Increased Risk - Adenoma

  9. Risks for Colon Cancer, cont. • Increased risk: • Personal History • Adenoma • Colorectal cancer or endometrial/ovarian cancer age < 60y • Inflammatory bowel disease

  10. Screening Recommendations:Increased Risk – CR/EO Cancer

  11. Risks for Colon Cancer, cont. • Increased risk: • Personal History • Adenoma • Colorectal cancer or endometrial/ovarian cancer age < 60y • Inflammatory bowel disease

  12. Screening Recommendations:Increased Risk – IBD

  13. Risks for Colon Cancer, cont. • Increased risk: • Positive family history • Clustering of colorectal cancer or HNPCC related cancers in the family • A first degree relative with colorectal cancer or adenoma or two second degree relatives (related to each other) with colorectal cancer

  14. Screening Recommendations:Increased Risk – Positive Family History

  15. Conclusion • Risks include: • Average – age, no previous history of adenoma or IBD, negative family history • Hereditary Risk – personal or family history of HNCPP or polyposis • Increased – • Personal history of adenoma, CRCa, EOCa, IBD • Positive family history • Screening: • GET A COLONOSCOPY!!!

  16. References National Comprehensive Cancer Network: Colorectal Cancer Screening Guidelines [homepage on the internet]. Jenkintown: The Network; c2007 [cited 23 October 2007]. Available from: www.nccn.org.

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