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Table 2 Follow-up after colon carcinoma resection with curative intent of carcinoma extending beyond the submucosa but without distant metastasis (all stages with the exception of T1N0)

From: Improving care after colon cancer treatment in The Netherlands, personalised care to enhance quality of life (I CARE study): study protocol for a randomised controlled trial

 

Year 1

Year 2

Year 3

Years 4-5

Office visits

Every 6 months

Every 6 months

Every 6 months

Yearly

Physical examination

Only if indicated

Carcinoembryonic antigen monitoring

Every 3 months

Every 3 months

Every 3 months

Every 6 months

Abdominal ultrasonography (or CT abdomena)

Every 6 months

Every 6 months

Yearly

Yearly

Coloscopy of CT colography

Within 3 months postoperatively if preoperatively the colon was not visualized completely.

 

3 years after the last coloscopy, followed by coloscopies each 3–5 years depending on the number, size, and localization of polyps

 

If whole colon is visualized preoperatively, coloscopy after 1 year

  1. aComputed tomography (CT) scan is indicated if an abdominal ultrasonography is not readily interpretable (e.g., in the presence of liver steatosis), or a CT scan can be considered in patients with a high risk of recurrence (T4N+) because of its higher sensitivity