A 59-year-old underwent curative resection of stage II colon cancer. A complete perioperative colonoscopy was normal, and the one-year surveillance

Question

A 59-year-old underwent curative resection of stage II colon cancer. A complete perioperative colonoscopy was normal, and the one-year surveillance colonoscopy is also normal. When should the next surveillance colonoscopy be scheduled?

Accepted Answer

Schedule surveillance colonoscopy three years after the normal one-year examination

Answer

Use annual fecal immunochemical testing instead of colonoscopic surveillance

Answer

Repeat surveillance colonoscopy one year after the normal examination

Answer

Defer surveillance until new bowel symptoms or iron-deficiency anemia develop

Answer

Perform colonoscopy after cross-sectional imaging identifies a suspected recurrence

Colon cancer surveillance — USMLE Step 3 MCQ

A 59-year-old underwent curative resection of stage II colon cancer. A complete perioperative colonoscopy was normal, and the one-year surveillance colonoscopy is also normal. When should the next surveillance colonoscopy be scheduled?