MKSAP: 38-year-old woman with endometrial cancer

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.

A 38-year-old woman is evaluated in follow-up after recent surgery for endometrial cancer. Her family history is significant for colon cancer in her sister (diagnosed at age 45 years) and her mother (diagnosed at age 65 years). Her maternal grandfather was diagnosed with rectal cancer at age 47 years. The patient has never had colon cancer screening with colonoscopy.

Which of the following is the most appropriate time to start colon cancer screening with colonoscopy?

A. Now
B. Age 40 years
C. Age 47 years
D. Age 50 years

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