A 44-year-old man has ulcerative colitis involving the entire colon for 10 years. Symptoms are controlled on biologic therapy. He has no primary

Question

A 44-year-old man has ulcerative colitis involving the entire colon for 10 years. Symptoms are controlled on biologic therapy. He has no primary sclerosing cholangitis and no prior dysplasia. He asks about cancer prevention. Which of the following is the most appropriate screening recommendation?

Accepted Answer

Schedule surveillance colonoscopy with biopsies

Answer

Use stool DNA testing as sole surveillance

Answer

Begin pancreatic cancer screening

Answer

Order annual CT colonography instead

Answer

Stop surveillance because symptoms are controlled

UC cancer surveillance — USMLE Step 3 MCQ

A 44-year-old man has ulcerative colitis involving the entire colon for 10 years. Symptoms are controlled on biologic therapy. He has no primary sclerosing cholangitis and no prior dysplasia. He asks about cancer prevention. Which of the following is the most appropriate screening recommendation?