Surveillance After Rectal Cancer Treatment
5 results
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Malignancy- A 50-year-old woman was found to have a right colon adenocarcinoma on screening colonoscopy. The tumor shows a loss of MMR function. Her family history is significant for uterine and pancreatic cancer. The rest of the imaging is negative for metastatic disease. What is the most appropriate next step in treatment?
- A 60-year-old man presents for his postoperative visit 1 month after colon resection for stage II adenocarcinoma. Preoperative colonoscopy was otherwise unremarkable. When should surveillance colonoscopy be performed?
- A 64-year-old woman with a history of cervical intraepithelial neoplasia presents with a firm 3-cm mass protruding at the anal verge. Anoscopy shows a fixed mass just distal to the dentate line. A biopsy of the lesion is performed, which has the findings shown in the Figure. Colonoscopy findings are unremarkable and computed tomography of the chest, abdomen, and pelvis reveals no evidence of distant disease. Magnetic resonance imaging reveals no locoregional nodal or sphincter involvement. The next best step in management for this patient is:
- A 53-year-old man has a 2-cm peripheral lung lesion on surveillance computed tomography of the chest, abdomen, and pelvis 3 years after undergoing a low anterior resection for a pT3N0 rectal cancer. No other lesion is found. Multidisciplinary evaluation concludes that this is a colorectal metastasis. What is the best treatment recommendation for this patient?
- Benign Disease