A 25-year-old lady comes to your clinic for advice regarding bowel cancer screening.Her mother had HNPCC and was treated surgically at 40-year of age.
Her grandmother also had bowel cancer at the age of 49. She is not interested to have genetic testing.
Which of the following is the most appropriate advice for her?
a.Refer her for colonoscopy now.
b.suggest colonoscopy after every two years starting from the age of 30
c.No follow up needed as she refused genetic testing.
d.Refer her for urgent colectomy.
e.Start screening at age of 35.
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