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Colon and Rectum Carcinoma Surveillance Counterpoint: Japan

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Patient Surveillance After Cancer Treatment

Abstract

The primary aim of surveillance after curative resection of colorectal cancer is to detect metastasis, local recurrence, or metachronous primary cancers at an early stage when curative reoperations are possible, leading to improvement of the prognosis. Recent meta-analyses show that more intensive postoperative surveillance results in a reduction of mortality and an improvement in the curative reoperation rate in comparison to minimal surveillance [1-6]. Furthermore, the early detection of recurrence of colorectal cancer also results in prolongation of life by chemotherapy and/or radiotherapy, even in patients with unresectable disease [7]. While several recommendations are now available from the American Society of Clinical Oncology (ASCO), the European Society for Medical Oncology (ESMO) and so on [8,9], the best strategy for the surveillance still remains controversial.

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References

  1. Rosen M, Chan L, Beart Jr RW, et al. Follow-up of colorectal cancer: a meta-analysis. Dis Colon Rectum. 1998;41:1116–26.

    Article  PubMed  CAS  Google Scholar 

  2. Figueredo A, Rumble RB, Maroun J, et al. Follow-up of patients with curatively resected colorectal cancer: a practice guideline. BMC Cancer. 2003;3:26.

    Article  PubMed  Google Scholar 

  3. Jeffery GM, Hickey BE, Hider P. Follow-up strategies for patients treated for non-metastatic colorectal cancer. Cochrane Database Syst Rev. 2002:CD002200.

    Google Scholar 

  4. Renehan AG, Egger M, Saunders MP, O’Dwyer ST. Impact on survival of intensive follow-up after curative resection for colorectal cancer: systematic review and meta-analysis of randomised trials. Br Med J. 2002;324:813–6.

    Article  Google Scholar 

  5. Renehan AG, O’Dwyer ST, Whynes DK. Cost effectiveness analysis of intensive versus conventional follow up after curative resection for colorectal cancer. Br Med J. 2004;328:81–4.

    Article  Google Scholar 

  6. Tjandra JJ, Chan MK. Follow-up after curative resection of colorectal cancer: a meta-analysis. Dis Colon Rectum. 2007;50:1783–99.

    Article  PubMed  Google Scholar 

  7. McArdle C. ABC of colorectal cancer: effectiveness of follow up. Br Med J. 2000;21:1332–5.

    Article  Google Scholar 

  8. Desch CE, Benson III AB, Somerfield MR, et al. Colorectal cancer surveillance: 2005 update of an American Society of Clinical Oncology practice guideline. J Clin Oncol. 2005;23:8512–9.

    Article  PubMed  Google Scholar 

  9. Van Cutsem EJ. Colon cancer: ESMO clinical recommendations for diagnosis, adjuvant treatment and follow-up. Ann Oncol. 2007; 18 Suppl 2:ii21-2.

    Google Scholar 

  10. Kobayashi H, Mochizuki H, Sugihara K, et al. Characteristics of recurrence and surveillance tools after curative resection for colorectal cancer: a multicenter study. Surgery. 2007;141:67–75.

    Article  PubMed  Google Scholar 

  11. The Japanese Society for Cancer of the Colon and Rectum. JSCCR guidelines 2010 for the treatment of colorectal cancer. (In Japanese) Tokyo, Kanehara; 2010; 36.

    Google Scholar 

  12. Ratto C, Sofo L, Ippoliti M, et al. Accurate lymph-node detection in colorectal specimens resected for cancer is of prognostic significance. Dis Colon Rectum. 1999;42:143–54.

    Article  PubMed  CAS  Google Scholar 

  13. Gan S, Wilson K, Hollington P. Surveillance of patients following surgery with curative intent for colorectal cancer. World J Gastroenterol. 2007;13:3816–23.

    PubMed  Google Scholar 

  14. Miles K, Burkill G. Colorectal cancer: imaging surveillance following resection of primary tumour. Cancer Imaging. 2007;7:S143–149.

    Article  PubMed  Google Scholar 

  15. Pietra N, Sarli L, Costi R, et al. Role of follow-up in management of local recurrences of colorectal cancer: a prospective, randomized study. Dis Colon Rectum. 1998;41:1127–33.

    Article  PubMed  CAS  Google Scholar 

  16. Schaefer O, Langer M. Detection of recurrent rectal cancer with CT, MRI and PET/CT. Eur Radiol. 2007;17:2044–54.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Yasushi Toh MD, PhD, FACS .

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© 2013 Humana Press

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Toh, Y., Sakaguchi, Y. (2013). Colon and Rectum Carcinoma Surveillance Counterpoint: Japan. In: Johnson, F., et al. Patient Surveillance After Cancer Treatment. Current Clinical Oncology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-969-7_35

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  • DOI: https://doi.org/10.1007/978-1-60327-969-7_35

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  • Publisher Name: Humana Press, Totowa, NJ

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