Colorectal Cancer Surveillance ? Colon And Rectal Surgery

May 31st | Colon And Rectal Surgery

Brett T. Gemlo and David A. Rothenberger The majority of colorectal cancers are resected for cure, leaving many patients eligible for continuous monitoring. The best regimen for clinically useful and cost effective monitoring is still controversial, but the objectives are clear. Rational monitoring should detect treatable recurrent cancers, to identify and remove metachronous polyps, and to identify possible influences in the development of hereditary colorectal cancer. In theory, such monitoring will increase the survival of cancer patients and improve their quality of life by successfully treating recurrences, prevention of metachronous cancers of the colon or rectum, and the prevention of hereditary cancers subsequent develop in the patient and / or family members. Getting there is still controversial, but it is clear that the precise risk stratification and patient selection are at the heart of any monitoring program. The intensity of monitoring should be commensurate with the patient?s risk of recurrence, and patients unfit for further surgery due to age or comorbidity may be better served by only one follow-up colonoscopy. Types of surveillance

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Tags: cancer, Colorectal, Surveillance

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