11
Table 10. Early-Stage Rectal Cancer Post-Treatment
Surveillance
Population Intervention Setting
Treated patients
with rectal cancer at
standard risk who have
not received pelvic
radiation
A rectosigmoidoscopy should be performed
every 6 months for 2–5 years.
a
(Moderate
Recommendation; I)
Enhanced
and
Maximal
Treated patients
with rectal cancer
at high risk who
have not received
pelvic radiation or
who underwent
surgery without
TME or underwent
endoscopic mucosal
dissection, or who
have had a positive
circumferential
resection margin
A rectosigmoidoscopy and/or endoscopic rectal
ultrasound should be performed every 6 months
for 2–5 years.
a
(Moderate Recommendation; I)
Enhanced
and
Maximal
Treated patients with
rectal cancer, where a
complete colonoscopy
was not done at the
time of diagnostic
workup
A colonoscopy, (if colonoscopy available in local
or referral setting ), or barium enema, should be
done as soon as reasonable aer completion of
adjuvant therapy and not necessarily at the 1-year
time point. (Moderate Recommendation; I)
Basic
Treated patients with
rectal cancer at high
risk who have not
received a complete
colonoscopy at the
time of diagnosis
A colonoscopy, (if colonoscopy available in local
or referral setting ) should be done as soon as
reasonable aer completion of adjuvant therapy
and not necessarily at the 1-year time point.
a
(Moderate Recommendation; I)
Limited,
Enhanced,
and
Maximal
a
In cases where a complete colonoscopy was not done at the time of diagnostic workup, a
colonoscopy should be done as soon as reasonable aer completion of adjuvant therapy and not
necessarily at the 1-year time point.
(cont'd)
