Strict follow‐up programme including CT and ¹⁸F‐FDG‐PET after curative surgery for colorectal cancer

Abstract

A total of 72% of recurrences were detected at scheduled controls. The findings supported a strict follow-up program following curative surgery for colorectal cancer. FDG-PET combined with CT should be included in control programs.

Diagnostic value of 18F-FDG PET/CT as first choice in the detection of recurrent colorectal cancer due to rising CEA

“…A recent prospective, non-randomized study demonstrated that the majority of patients with recurrent CRC were identified at scheduled visits in a strict follow-up program. In that trial, CT and FDG-PET combined had better diagnostic properties than other imaging modalities [ 12 ]. A very recent randomized trial with more than 1,200 patients showed no benefit of combining serial CEA measurements with CT versus CT or CEA alone [ 13 ].…”

Is early surveillance with CT scan necessary in patients with stage II/III colorectal cancer: A retrospective study

“…Previous studies reported the first CT scan ranging from 3 to 12 months after curative resection. However, accumulated incidence of recurrence within 6 months detected by CT scan and the relevant value were not reported .…”

Adherence to national guidelines for surveillance after curative resection of nonmetastatic colon and rectum cancer: a survey among Norwegian gastrointestinal surgeons

“…We did not collect data for this systematically, but several larger hospitals reported the use of this in their 'free text' responses. Better imaging alternatives are attractive in this setting [19], but not widely available and still costly. Despite the relative paucity of evidence of efficacy, more frequent and liberal use of imaging is now implemented in the current surveillance programme [11].…”