A 29-year old man is undergoing his general check up. He has been diagnosed with ulcerative colitis four years ago. He responded to mesalamine treatment and remained in remission on this medication. His routine check up indicated that his serum alkaline phosphatase, alanine aminotransferase, and aspartate aminotransferase levels are normal. He also has a strong family history of colon cancer.
Following are some of the known facts related to ulcerative colitis and colon cancer : As the patient has normal liver chemistry studies, primary sclerosing cholangitis (PSC) is unlikely. Patients with ulcerative colitis involving the rectum are not at increased risk for colorectal cancer . Guidance on colorectal cancer screening recommends initiation of screening in high-risk patients at age 40. ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we…
