GET YOUR COLONOSCOPY, GET YOUR CURE. D. Garrow 1 ; 1 New Hanover Regional Medical Center, Wilmington, NC (Tracking ID #74301) LEARNING OBJECTIVES: 1. Present a case of metastatic colon cancer. 2. Provide screening recommendations with colon cancer in a first-degree relative. 3. Discuss genetic factors implicated in colon cancer. CASE INFORMATION: The patient is a 57 year-old female who presented with dysequilbrium and hand tremor for one month. Head MRI revealed multiple intracranial lesions. ( fig. 1 ) Biopsy revealed poorly-differentiated adenocarcinoma. A colonoscopy was performed because of the above histology and a family history of colon cancer involving two brothers and a son. A near-obstructing mass was discovered in the right colon. Patient also had liver, spleen and multiple lymph node involvement via PET scan.