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| * [[Hepatomegaly]] | | * [[Hepatomegaly]] |
| * Per-rectal exam may reveal [[bleeding]] and mass per rectum | | * Per-rectal exam may reveal [[bleeding]] and mass per rectum |
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| Routine [[Positron emission tomography|PET]] or [[Medical ultrasonography|ultrasound scanning]], [[chest X-ray]]s, [[complete blood count]] or [[liver function tests]] are not recommended.<ref name="NCCNguidelines"/><ref name="ASCOguidelines"/> These guidelines are based on recent meta-analyses showing that intensive surveillance and close follow-up can reduce the 5-year mortality rate from 37% to 30%.<ref name="Cochrane2002">{{cite journal |last=Jeffery M, Hickey BE, Hider PN|first=|authorlink= |coauthors=|year=2002 |month= |title=Follow-up strategies for patients treated for non-metastatic colorectal cancer |journal=Cochrane Database Syst Rev |volume= |issue= |pages= |id=CD002200 |url=http://mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD002200/frame.html |accessdate= |quote= }}</ref><ref name="BMJfollowup">{{cite journal |last=Renehan AG, Egger M, Saunders MP, O'Dwyer ST|first= |authorlink= |coauthors= |year=2002 |month= |title=Impact on survival of intensive follow up after curative resection for colorectal cancer: systematic review and meta-analysis of randomised trials |journal=BMJ |volume=324 |issue=7341 |pages=831-8 |id= |url=http://www.bmj.com/cgi/reprint/324/7341/813 |accessdate= |quote= }}</ref><ref name="BMCCancerFollowup">{{cite journal |last=Figueredo A, Rumble RB, Maroun J, ''et al''; Gastrointestinal Cancer Disease Site Group of Cancer Care Ontario's Program in Evidence-based Care. |first= |authorlink= |coauthors= |year=2003 |month= |title=Follow-up of patients with curatively resected colorectal cancer: a practice guideline. |journal=BMC Cancer |volume=3 |issue= |pages=26 |id= |url=http://www.biomedcentral.com/1471-2407/3/26 |accessdate= |quote= }}</ref>
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| ==References== | | ==References== |
Revision as of 14:56, 9 August 2012
Editor(s)-in-Chief: C. Michael Gibson, M.S.,M.D. [1] Phone:617-632-7753; Elliot B. Tapper, M.D., Beth Israel Deaconess Medical Center
Overview
Any sort of suspicion of colorectal cancer requires regular follow-up appointments.
Physical Examination
Appearance
- The patient may appear pale (because of anemia) and emaciated (because of weight loss).
Skin
Head
Abdomen
References
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