MCQ - sigmoidoscopy

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Posted by Shreya from IP 67.22.174.164 on April 27, 2012 at 18:02:45:

You perform flexible sigmoidoscopy on a 55-year-old white male as part of routine screening and discover a 4-mm polyp of the rectal mucosa. A biopsy confirms the polyp is hyperplastic. The examination is otherwise normal and this patient has no other risk factors for colon cancer.

Which one of the following represents the most appropriate advice?

1)Recommend no further workup, but follow current recommendations for periodic screening for colon cancer in asymptomatic adults
2)Recommend surgical consultation to consider partial rectal resection
3)Recommend surgical consultation for removal of the base of the polyp
4)Recommend colonoscopy; if no other polyps are found, repeat colonoscopy in 1 year, then resume current recommendations for periodic screening for colon cancer in asymptomatic adults
5) Recommend colonoscopy; if no other polyps are found, repeat colonoscopy yearly for 3 years, then every third year

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