Detection of recurrent cancer of the colon and rectum.
作者： Hans Graffner , Bjöurn Hultberg , Bengt Johansson , Torgil Müller , B. G. Petersson
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摘要: Outpatient follow-up in patients operated upon due to carcinoma of the colon and rectum is usually performed, a high rate recurrence with aim finding curable recurrence. Due enormous cost an extended system, careful evaluation benefit needed. The present investigation was study efficacy different tools follow-up. One hundred ninety were--apart from traditional clinical follow-up--followed extensive laboratory battery including carcinoembryonic antigen (CEA), erythrocyte sedimentation (ESR), hemoglobin (Hb), electrophoresis, ALP, GT. Forty-seven recurrences were found. Thirty-one these first detected by rise CEA. Seven cases at six symptoms suggestive predictive value positive test 79.4% for CEA but very low other tests studied. A negative any accurate. Follow-up after colorectal should include as only parameter. Postoperative colonoscopy removal missed synchronous lesions, chest X-ray, endoscopic investigations anastomotic region also seem be value.
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