A 65-year-old man with a history of tobacco use presented to his primary care physician (PCP) for an annual physical examination. Because the patient had not received colorectal cancer (CRC) screening, screening options including colonoscopy and fecal immunochemical test (FIT) were discussed. He refused both options for reasons that he chose not to disclose.
Months later, he presented for routine care, at which time CRC screening was revisited. His PCP discussed the utility and options for CRC screening. The patient opted for FIT and the result was positive. Colonoscopy was recommended, but he declined the procedure after further discussion.
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Myint A, Aby ES, May F. Getting Colorectal Cancer Screening Right: A Teachable Moment. JAMA Intern Med. 2019;179(10):1417–1418. doi:10.1001/jamainternmed.2019.3457
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