colorectal screening: personal history of colorectal cancer
Last reviewed 01/2018
Follow-up after apparently curative resection
- start follow-up at a clinic visit 4-6 weeks after potentially curative treatment
- offer patients regular surveillance with: a minimum of two CTs of the chest,
abdomen, and pelvis in the first 3 years and regular serum carcinoembryonic
antigen tests (at least every 6 months in the first 3 years)
- offer a surveillance colonoscopy at 1 year after initial treatment. If this
investigation is normal consider further colonoscopic follow-up after 5 years,
and thereafter as determined by cancer networks. The timing of surveillance
for patients with subsequent adenomas should be determined by the risk status
of the adenoma
- start reinvestigation if there is any clinical, radiological or biochemical suspicion of recurrent disease
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