NCCN Guidelines – Colon Cancer – Flashcards
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What are the 4 screening criteria that designate someone as "average risk" for colon cancer?
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1) age greater than 50 2) No family history of CRC 3) no history of IBD 4) no history of adenoma, sessile polyps, or CRC
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what are the 4 findings/criteria for repeat colonoscopy every 3 years?
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1) high grade dysplasia or ssp-cd 2) adenoma or ssp >1cm 3) between 3 and 10 adenomatous polyps and/or ssp's 4) villous or tubulovillous histology
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when do you start screening someone with a personal history of IBD?
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8-10 years after age at first diagnosis
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guidelines for those who have a 1st degree relative with CRC <60 years of age or two 1st degree relatives with CRC at any age
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start screening colonoscopy at age 40 or 10 years before the relative's age at diagnosis of CRC and repeat every 5 years
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1st degree relative with CRC >60
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start at 50 and repeat every 5 years
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1 second degree relative with CRC at <50
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start at 50 and repeat every 5 years
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first degree relative with high grade adenoma
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start at 50 or at age of onset of diagnosis for relative, whichever comes first - repeat every 5 years
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what 3 chemo agents are used for adjuvent therapy with stage T3 and T4 or node positive colon cancers?
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1) folox 2) capecitabine 3) 5-FU/leucovorin
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what 4 follow up modalities are used in CRC patients after resection/adjuvant chemo?
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1) follow up h&p every 3-6 months for 2 years then every 6 months for total of 5 years 2) CEA every 3-6 mo for 2 years then every 6 mo for total of 5 years 3) CT chest/abdomen/pelvis every 12 mo for up to 5 yrs 4) follow up colonoscopy at 1 year, 3 years, 5 years unless positive findings
