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Colorectal Cancer Screening and Postpolypectomy Surveillance
Marina Affi Koprowski1, Kim C Lu2
1Department of Surgery, Oregon Health & Science University, Portland, Oregon.
Diseases of the Colon and Rectum
|July 2, 2021
Summary
A fecal immunochemical test detected colorectal cancer in a 52-year-old woman. Subsequent colonoscopy revealed and removed three tubular adenoma polyps, with a recommended 3-year follow-up.
Area of Science:
- Gastroenterology
- Oncology
- Preventive Medicine
Background:
- Colorectal cancer (CRC) screening is crucial for early detection and prevention.
- Fecal immunochemical testing (FIT) is a non-invasive screening option for CRC.
- Adenomas are precancerous polyps that can develop into CRC.
Purpose of the Study:
- To present a case of CRC screening using FIT leading to adenoma detection and resection.
- To illustrate the management pathway following a positive FIT result.
- To discuss follow-up recommendations after polypectomy.
Main Methods:
- A 52-year-old asymptomatic woman underwent FIT for CRC screening.
- Positive FIT result prompted diagnostic colonoscopy.
- Colonoscopy identified and removed three small tubular adenomas via snare polypectomy.
Main Results:
- The patient's FIT result was positive, indicating potential CRC or advanced polyps.
- Colonoscopy confirmed the presence of three tubular adenomas, all resected.
- Histologic examination identified the resected polyps as tubular adenomas.
Conclusions:
- FIT can effectively identify individuals requiring further investigation for CRC.
- Colonoscopic polypectomy is a key intervention for preventing CRC progression.
- Appropriate surveillance intervals are essential after adenoma removal.
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