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Role of Ultrasonography in the Surveillance of Disease-Free Patients with Colorectal Cancer: a Retrospective Audit

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Abstract

Close surveillance of colorectal cancer (CRC) patients is helpful as early detection of resectable metastasis has a survival benefit. Ultrasonography (USG) is a frequently used modality to detect liver recurrence, although international guidelines do not include it. To evaluate the potential added role of USG in early detection of CRC recurrence. We performed a retrospective analysis of 230 patients of colorectal cancer treated at our institute in 2013–2014 who underwent abdominal USG for surveillance. 77/230 (33%) developed recurrence, with liver being the second most common site (22/230). 5/230 (2%) patients had recurrent disease first detected on USG, four of which also had raised serum CEA (carcinoembryonic antigen) levels. There were three false positive and four false-negative cases on USG. There was no added advantage of USG for early detection of CRC recurrence.

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Correspondence to Akshay D. Baheti.

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Suman, G., Baheti, A.D., Ankathi, S.K. et al. Role of Ultrasonography in the Surveillance of Disease-Free Patients with Colorectal Cancer: a Retrospective Audit. Indian J Surg Oncol 9, 452–455 (2018). https://doi.org/10.1007/s13193-018-0815-x

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