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Colon polyp surveillance — USMLE Step 3 MCQ

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HardSurgery (post-operative, follow-up)Colon polyp surveillanceUSMLE Step 3

A 56-year-old man had screening colonoscopy with removal of one 6-mm tubular adenoma with low-grade dysplasia. Bowel preparation was adequate and the polyp was completely removed. He has no family history of colorectal cancer. Which of the following is the most appropriate at this time?

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Correct answer: B — Schedule surveillance colonoscopy in 7 to 10 years

One to two small tubular adenomas with low-grade dysplasia after high-quality colonoscopy generally warrant 7- to 10-year surveillance.

Reference: US Multi-Society Task Force post-polypectomy surveillance guideline: https://gastro.org/