This case involves a fifty-six-year-old male patient with a family history of colon cancer. The patient presented to his doctor for a routine colonoscopy screening and the procedure revealed a small polyp in the cecum. The remainder of the test was inconclusive due to suboptimal preparation. The physician recommended that the patient get another colonoscopy in three years. Nine months after the initial colonoscopy, however, the patient developed abdominal pain and chronic anemia. He was taken in for an additional scope that found a large mass in the transverse colon. A gastrointestinal biopsy confirmed the mass to be an adenocarcinoma Grade III with one positive node.