Notice that there might be national or regional guidelines available concerning treatment of colorectal cancer. Check availability.
Stage | Dukes' class | Criteria | Breakdown | 5-year survival rate |
---|---|---|---|---|
I | A | Confined to the muscular layer, no lymph node metastases (T1-T2 N0 M0) | 20-25% | >90% |
II | B | Invading the muscular layer, no lymph node metastases (T3-T4 N0 M0) | 40-45% | 70-85% |
III | C | Lymph node metastases (T1-T4 N1-N2 M0) | 15-20% | 44-80% |
IV | D | Metastases (T1-T4 N all M1) | 20-30% | <10% |
All stages (based on the best data) | ca. 65% |
Date | Place | Examinations (always including clinical examination) |
---|---|---|
CH = central hospital HC = primary care health centre | ||
4-6 weeks | CH | Blood count with platelets, CRP, postsurgical control |
3 months | HC | Blood count with platelets, CEA |
6 months | HC | Blood count with platelets, CEA |
9 months | HC | Blood count with platelets, CEA |
12 months | CH | Blood count with platelets, CEA, abdominal ultrasound |
15 months | HC | Blood count with platelets, CEA |
18 months | HC | Blood count with platelets, CEA |
21 months | HC | Blood count with platelets, CEA |
24 months | CH | Blood count with platelets, CEA, abdominal ultrasound, colonoscopy |
30 months | HC | Blood count with platelets, CEA |
36 months | HC | Blood count with platelets, CEA |
42 months | HC | Blood count with platelets, CEA |
48 months | CH | Blood count with platelets, CEA, ultrasound |
60 months | CH | Blood count with platelets, CEA, colonoscopy, assessment of need for further follow-up |