Follow-up after Colorectal Cancer Surgery

It is possible for cancer cells to be present in other areas of the body even after the surgery. Microscopic cancer cells are undetectable during surgery. If diagnosed early, recurrent cancers may benefit from further surgery or cured by other treatments.

Besides, at least 20% of patients with a history of colon or rectal cancer will develop a new polyp at a later time in life. It is important to remove these polyps before they become cancerous.

The goals of postoperative follow-up program are to identify recurrent cancer and prevent new cancers by removing new polyps.

How long will the follow-up last?

Follow-up is most frequent during first 2 years after surgery. After 5 years follow-up is to detect new polyps. Follow-up intensity depends on the disease stage.

Follow-up examinations: Physical examination, Blood CEA levels, Colonoscopy, CT scan, PET scan, MRI, or Ultrasound

What about my family?

1st degree realties are at increased risk for the disease. Therefore periodic colonoscopies are advised. Factors for increased risk of colon and rectal cancer include cancer occurring at an early age, personal history of breast and female gynecological cancer.

(Simplified from Patient Eduction Brochures of The American Society of Colon and Rectal Surgeons)