Question 261 · LEK · Colorectal cancer
A 73-year-old female patient with a history of rectal cancer surgery three years before, came in to an outpatient clinic. She provided the findings of the last two CEA blood tests. The first one showed 8.45 ng/ml, and the other one, performed three months afterwards, 19.39 ng/ml (normal range <5.0 ng/ml). The dual-phase abdominal and thoracic CT scan and colonoscopy findings did not show any abnormalities. Indicate which examination should be ordered for the patient: 89 z 117 29.06.2026, 14:15 Centrum Egzaminów Medycznych https://test.cem.edu.pl/pytcem/wyswietl_baza_pdf.php
- A. transrectal ultrasound.
- B. pelvic magnetic resonance imaging (MRI).
- C. PET-CT.
- D. diagnostic laparoscopy.
- E. CEA test in three months’ time.
Hint
A steadily rising tumour marker with negative conventional imaging calls for a whole-body functional study to find occult recurrence.
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