[Postoperative follow-up in patients with colorectal cancers who have undergone curative resection: intensive or conventional follow-up?].

Fiche publication


Date publication

octobre 2008

Auteurs

Membres identifiés du Cancéropôle Est :
Pr BEDENNE Laurent, Pr LEPAGE Côme


Tous les auteurs :
Dahan L, Lepage C, Ouaissi M, Sastre B, Bedenne L, Seitz JF

Résumé

Colorectal cancer is one of the most common human malignancies. Surgical resection remains the primary treatment but cancer recurrences (locoregional or distant) are associated with a poor prognosis. Follow-up is of particular importance in the three-years after surgery and various strategies have been purposed in the surveillance of patients after curative resection for colorectal cancer. The objective is to diagnose a recurrence at the earliest possible stage, enabling a second curative treatment. Optimal strategy for follow-up remains controversial. Results from randomized trials comparing low intensity programs and intensive programs of colorectal cancer surveillance are insufficient to recommend a follow-up strategy. To update recommendations for surveillance of colorectal cancer, larger prospective randomized studies are required.

Référence

Gastroenterol Clin Biol. 2008 Oct;32(10):828-34