Patient’s Guide in Colorectal Cancer: Observation After Treatment and Treatment of Relapse

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Abstract

Surgery is a first-line treatment in up to 80% of patients with newly diagnosed colorectal cancer (CRC), as in most cases they present locoregional disease spread. Most patients undergo follow-up after treatment, in purpose to detect relapse and/or existence of metachronous lesions. Other benefits of surveillance are monitoring for side effects of therapy, detection of other comorbidities, as well as the psychological aspect of prolonged medical care. However, follow-up strongly depends on stage as well as perioperative treatment, and its intensity remains a matter of great controversy worldwide. In this section we will present a general review of different surveillance strategies regarding the role of endoscopic examination, diagnostic-imaging techniques, as well as fecal and serum tests in post-CRC surveillance. Presented recommendations do not include a matter of surveillance in patients with familial cancer syndromes that have not undergone total proctocolectomy.

Keywords

Colorectal cancer Adenoma Surveillance Proctocolectomy Risk of relapse Colonoscopy Radiotherapy Chemotherapy 

Abbreviations

CRC

Colorectal cancer

CT

Computed tomography

CTC

Computed tomographic colonography

ESMO

European Society for Medical Oncology

MRI

Magnetic resonance imaging

PET/CT

Positron emission tomography

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Notes

Acknowledgments

Our cordial thanks to the leading editor of this book, Prof. Jakub Fichna, for the invitation to cooperate in the drafting of this publication.

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© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of Gastroenterology and Hepatology, School of Medicine in KatowiceMedical University of Silesia in KatowiceKatowicePoland

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