Management

Question 1

A post-operative increase in carcinoembryonic antigen (CEA) in the management of colon
carcinoma may indicate…?

Answer 1

CRC recurrence

Question 2

What is the most important indicator of outcome after CRC resection?

Answer 2

Pathologic state at presentation

Question 3

Colorectal adenocarcinoma develops in what percentage of untreated familial adenomatous polyposis (FAP) patients? What is the prophylactic treatment?

Answer 3

Develops in 100% of untreated cases.

Prophylactic treatment is a colectomy.

Question 4

How is CRC treated?

Answer 4

Surgery

Adjuvant chemotherapy

Benign adenomas, as well as those with severe dysplasia or carcinoma in situ (no evidence of invasive cancer, defined as invasion into the submucosa), can be effectively managed by endoscopic removal (polypectomy) alone as long as the resection margins are free of cancer.

Question 5

List 4 components of posttreatment surveillance for those with Stage II and III CRC

Answer 5

1. Periodic Hx and PE
2. CEA
3. Annual colonoscopy
4. Annual CT scans