FOLLOW-UP OF COLORECTAL-CARCINOMA

Recurrence of colorectal carcinoma after curative surgery amounts to 3 0-40%. It is more frequent with deep penetration of the cancer, in you ng or old patients and in high risk groups. Familial polyposis, ulcera tive colitis, Lynch's syndromes, and past history of adenoma or cancer are the best examples. The follow-up is effective if strict protocols are used, with frequent examinations. However, they are costly in com parison with results. Colonoscopy is essential far surveillance of the large bowel. Clinical evaluation, ultrasonography and CEA are useful for extra-colonic deposits.