Surveillance after endoscopic and surgical resection of colorectal cancer |
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| Affiliation: | 1. Cancer Screening Center, National Cancer Center Hospital, Tokyo, Japan;2. Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan;3. Division of Screening Technology, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan;1. Departments of Urology and Surgical Sciences, University Hospital Uppsala, Uppsala, Sweden;2. Oncological Center, Umeå University Hospital, Umeå, Sweden;3. Department of Urology, University Hospital Linköping, Linköping, Sweden;4. Department of Urology, University Central Hospital, Oulu, Finland;5. Department of Urology, Central Hospital of Rogaland, Stavanger, Norway;1. Department of Pediatrics, University of Massachusetts Medical School, Worcester, Massachusetts, USA;2. Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA;1. College of Biology Sciences and Engineering, Beifang University of Nationalities, Yinchuan, Ningxia 750021, China;2. College of Life Sciences, Shaanxi Normal University, Xian, Shaanxi 710062, China |
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| Abstract: | With the increase in colorectal cancer burden, surveillance following endoscopic and surgical resection is an essential issue. The aim of surveillance programs is improvement of patient survival by early detection of residual tumor tissue or local recurrence, metachronous colorectal tumors, and metastases. Appropriate surveillance should be determined according to this risk of factors. In current guidelines, only surveillance colonoscopy is recommended after endoscopic resection of polyps with high-grade dysplasia, whereas intensive, multimodality surveillance using colonoscopy, radiological imaging and tumor marker measurements is recommended following surgical resection of invasive colorectal cancer. Detailed recommendations, including the timing of surveillance, are described based on high-quality evidence. However, there are still many unresolved issues for which more high-quality evidence is required. |
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| Keywords: | Colonoscopy Colorectal cancer Endoscopic resection Surgery Surveillance |
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