Would you pursue a colonoscopy for a patient in their 20s with constipation and rectal bleeding if they had a first-degree relative who died young from a "carcinoid tumor"?

How do you risk-stratify this otherwise low-risk young patient given the lack of specific guidelines for this rare cancer? Additionally, at what point would you consider a referral to genetics, especially in the absence of detailed family history or genetic testing information?

Answer from: at Academic Institution

Carcinoid tumor is relatively uncommon in someone who is relatively healthy and young. I would make sure to consider all the more common diagnoses and workup before considering carcinoid tumor. Moreover, carcinoid tumor is associated with diarrhea rather than constipation. Neuroendocrine tumor of th...

Comments

at Altru Clinic Devils Lake
The patient has rectal bleeding. Colon cancer inci...

at UrMCGastroenterology And Hepatology At Sawgrass
You’re going to be doing a lot of colonoscop...

at Bay Ridge Endoscopy Pllc
Is rectal bleeding a one-time episode or a recurre...

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Would you pursue a colonoscopy for a patient in their 20s with constipation and rectal bleeding if they had a first-degree relative who died young from a "carcinoid tumor"?

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