Dear Amrit,
I would want a closer view of the family history of colonic cancer and
would refer him if it were suggestive of familial polyposis coli. I am not
sure what the relationship between FH and squamous cell Ca of lung but
would expect it to be non existent and therefore if this were his FH of
lung Ca I would councel regarding smoking, CXR him and leave it at that.
With regard to prostatic cancer assuming a normal pr I would feel obliged
to check a PSA even though there are some problems with this as a screening
test.
Having said all that I would try to get a clear idea of the patients
expectations and might behave differently depending on my findings there!
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> From: Amrit Takhar <[log in to unmask]>
> To: GP-UK list <[log in to unmask]>
> Subject: Cancer screening
> Date: 03 September 1996 17:23
>
> 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
>
> DR Amrit Takhar
> Cambs UK
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