| 特集名 | 大腸癌切除後のサーベイランス -- 転移・再発を中心に | |
|---|---|---|
| 題名 | 総論 (2) 大腸癌内視鏡的治療後のサーベイランス法 | |
| 発刊年月 | 2004年 03月 | |
| 著者 | 佐田 美和 | 北里大学東病院消化器内科 |
| 著者 | 五十嵐 正広 | 北里大学東病院消化器内科 |
| 著者 | 吉澤 繁 | 北里大学東病院消化器内科 |
| 著者 | 小林 清典 | 北里大学東病院消化器内科 |
| 著者 | 勝又 伴栄 | 北里大学東病院消化器内科 |
| 【 要旨 】 | 要旨はありません。 | |
| Theme | The surveillance program after treatment of colorectal cancers | |
|---|---|---|
| Title | The surveillance program after endoscopic treatment of the early colorectal cancer | |
| Author | Miwa Sada | Department of Gastroenterology, Kitasato University East Hospital |
| Author | Masahiro Igarashi | Department of Gastroenterology, Kitasato University East Hospital |
| Author | Shigeru Yoshizawa | Department of Gastroenterology, Kitasato University East Hospital |
| Author | Kiyonori Kobayashi | Department of Gastroenterology, Kitasato University East Hospital |
| Author | Tomoe Katsumata | Department of Gastroenterology, Kitasato University East Hospital |
| [ Summary ] | This study investigated surveillance methods for post endoscopic treatment (polypectomy or endoscopic mucosal resection) for early colorectal cancer. Surveillance was defined as the following: (1) monitoring of the local residues/recurrence after endoscopic treatment, (2) monitoring of overlooked lesions, (3) discovery of new metachronous cancer. We recommended surveillance after endoscopic treatment in these cases. Cases of enblocked resected m cancer should be followed up on after one year, and then every two years. Cases of piecemeal resected m cancer should be followed up on after 3 to 6 months, and after that each subsequent year. In cases of sm cancer, follow-up endoscopy should be performed after 3 to 6 months and monitored for local residues or recurrence. After that, we should follow up after 6 months, and every year after that. New metachronous colorectal cancer was detected in about 86% within 7 years. It was concluded that a recommended surveillance program should be constructed according to individual cases, and it is thought that follow-ups should be re quired for at least seven years after endoscopic treatment. |
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