In your message dated Tuesday 3, September 1996 you wrote :
> I have a 54 yearold patient who has asked to be screened for cancer as he has
a
> family history of colon and lung cancer. He is also concerned about prostate
> cancer. He has no symtoms other than an intermittent dry cough over the past
4
> years (PFR 640, lungs clear) Physical exam normal
>
> What do other GPs do in this situation?
> What screening tests would you offer if any?
> He is happy to pay for any tests if not available on NHS
Dear Amrit,
I think most surgeons would advise colonoscopy in first degree relatives. I am
however not aware of any specfic guidelines for the screening of colon cancer
i.e. what age and degree of family history. Maybe someone will be able to tell
us?
Best wishes
Rob
--
Robert bracchi
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