A 72-year-old man with hypertension and atrial fibrillation presents with microcytic anaemia and positive fecal occult blood test. Colonoscopy reveals...

Question

A 72-year-old man with hypertension and atrial fibrillation presents with microcytic anaemia and positive fecal occult blood test. Colonoscopy reveals a left-sided adenocarcinoma. According to standard of care, what is the most appropriate next management step?

Accepted Answer

Arrange CT imaging and refer urgently to colorectal surgery for resection

Answer

Start oral iron and repeat fecal occult blood testing

Answer

Treat with antibiotics and observe

Answer

Start chemoradiotherapy without staging

Answer

Reassure as many polyps are benign

ca-mccqe1 MCQ (SBA): Colorectal cancer

A 72-year-old man with hypertension and atrial fibrillation presents with microcytic anaemia and positive fecal occult blood test. Colonoscopy reveals a left-sided adenocarcinoma. According to standard of care, what is the most appropriate next management step?