Mr. Lacologne is a 38 year old man from the Eastern townships of Quebec. Within the past year his brother died from colon cancer (age of diagnosis and death: 42), as did his father nearly twenty years earlier in his 60s. He saw his GP, and because of his anxiety of cancer was referred for consideration of a screening colonoscopy. He was seen 4 months later by a gastroenterologist; history and physical exam was unremarkable. Colonoscopy was performed 1 month later, and a mass was seen at the hepatic flexure. Biopsies confirmed adenocarcinoma. Subsequently, the surgeon ordered a staging CT of the chest/abdomen/pelvis, which was negative for metastatic disease, and planned to take him 3 weeks later to the OR for a laparoscopic right hemicolectomy. He was out of hospital in 3 days, returned to the surgeon weeks later and was told “I got everything”.