Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions

Douglas G. Adler, MD

Question 48: How Should Patients Be Followed After Successful Treatment For Rectal Cancer? (continued)

Brad Shepherd, MD; David A. Schwartz, MD; Paul E. Wise, MD

More than 40,000 people are diagnosed with rectal cancer annually in the United States. Fortunately, survival rates for those with rectal cancer have improved dramatically with new advances in imaging, surgical techniques, and chemotherapeutic regimens. Although 75% of rectal cancer patients present with localized disease that may be amenable to surgical resection, up to 40% of these patients will develop local recurrent or metastatic cancer.1 There are a number of diagnostic modalities used in postoperative surveillance of rectal cancer with the primary objective of these tests being to…