A member asked:

35y stage i rectal cancer cured via lar w/ tme & wide margin, post-op biopsy clear of cancer in all 17 lumph nodes. advice on follow-up & gene tests?

7 doctors weighed in across 2 answers

Genetic testing=Y: Close observation to include every 3 mo x 2 yrs, eval in office (look at anastomosis), belly and ln exam, lab tests (cea) and symptom review. Ct abd, pelvis at 1 yr and slowly decrease follow up as you remain symptom free.Genetic testing will tell you if you are at increased risk of other ca, esp. Ovarian, breast, and also eval for family risk, (siblings, children).

Answered 12/30/2012

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Regular Surveillance: Regular surveillance with physical exam, rectal exam and CEA levels on a yearly basis will help detecting future recurrence or new cancers. Colonoscopy is recommended when any of the above are positive. Hope this will help.

Answered 2/11/2020

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