Follow-up

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Follow-up aims at diagnosing metachronous lesion(s) or distant metastasis in the early stage. History taking and physical examination every 3 to 6 months for three years after surgery. CEA every 2 to 3 months for two or more years in patients who have had resection of liver metastasis. Colonoscopy looking for synchronise lesion(s) should be done shortly after surgery if preoperatively the scope cannot pass through the tumor; otherwise it should be done every 3 to 5 years. ASCO recommends against other routine follow-up tests such as Chest X-Ray, Ultrasound, CT, etc.

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