Colorectal cancer patients after surgery how to review?Treatment of colorectal cancer is like playing basketball, surgery and other treatmen
Colorectal cancer patients after surgery how to review?
Treatment of colorectal cancer is like playing basketball, surgery and other treatment is like an offense, but we can not win the attack, we must pay attention to defense, that is, after the regular review".
Colorectal cancer patients should be reviewed after surgery:
Physical examination: once every 3 months after surgery within 2-5 years; every months after surgery, once every 6 months.
Blood routine, liver and kidney function during postoperative chemotherapy (6 months postoperative) every 3 weeks at a time; after 6 months to 2 years once every 3 months; after a 2-5 years every 6 months.
Tumor markers (CEA/CA199/CA72-4): once every 3 months after surgery, within years, once every 6 months after surgery (2-5).
B ultrasound (liver, gallbladder, pancreas, spleen and kidney): once every 3 months after surgery within 2 years; every 2-5 months after surgery, once every 6 months.
Thoracic / abdominal / pelvic CT: 4-6 weeks after the operation as a control; 2 months after surgery in each of the 3 months; 2-5 months after surgery once every 6 months.
Colonoscopy: endoscopy within 1 years after surgery; if preoperative tumor obstruction due to other reasons are not the whole colon examination, should be in 3-6 months after operation review colonoscopy. Such as postoperative colonoscopy to detect high-risk adenomatous polyps, endoscopy should be a year. Such as postoperative negative colonoscopy result, after 3 years after colonoscopy, after review colonoscopy every 5 years.
If the clinical symptoms are abnormal at any time. ]
Surgery 5 years after the proposed review once a year: physical examination + tumor index + B + chest CT+ abdominal / pelvic CT]
Conclusion: the operation is not once and for all, must adhere to regular review after surgery.