Follow-up of Endoscopically Resected Submucosal Cancer of the Colorectum

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  • Tsuda S.
    Department of Gastroenterology, Fukuoka University Chikushi Hospital

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  • 大腸癌術後のフォローアップ　　Ｖ．大腸ｓｍ癌内視鏡治療後の経過

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Abstract

The main purpose of follow-up after endoscopic resection of colorectal cancer is to detect local residual lesion, recurrence, overlooked synchronous multiple cancer and metachronous multiple cancer. The present status of follow-up after endoscopic resection of colorectal submucosal cancer was analyzed with reference to re-ported papers to look for an appropriate method of surveillance.<BR>Results : (1)To detect local residual lesion and overlooked synchronous multiple lesion, a strict examination is to be performed within one year, preferably within three to six months after treatment. (2)To detect local recurrence, a strict examination is to be performed within three to five years after treatment. (3)It was clarified that follow-up for a longer period is required to detect metastasis and metachronous multiple cancer. However, an appropriate method of surveillance according to respective risk of recurrence was not found. A more effective and efficient follow-up approach including financial cost should be established soon.

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