University of North CarolinaChapel Hill, USA.
Oncologist. 2011;16(2):254-6. doi: 10.1634/theoncologist.2011-0014.
A 61-year-old man undergoes a sigmoid colectomy for a T3N1 (two of 18 nodes) adenocarcinoma of the sigmoid colon. He recovers well and receives 6 months of adjuvant FOLFOX (5-fluorouracil, leucovorin, and oxaliplatin) uneventfully. At his first follow-up visit, the oncologist recommended every 3 month visits for a physical, liver function tests, and carcinoembryonic antigen (CEA) measurement; every 6 month chest, abdomen, and pelvic computed tomography (CT) scans for 3 years; and aspirin, vitamin D supplementation, and exercise. Is CT scanning appropriate in the follow-up of colon cancer patients? (This case was presented at Massachusetts General Hospital Cancer Center.).
一位 61 岁男性因乙状结肠癌 T3N1（18 个淋巴结中有 2 个转移）接受乙状结肠切除术。他恢复良好，并顺利接受了 6 个月的辅助 FOLFOX（氟尿嘧啶、亚叶酸钙和奥沙利铂）治疗。在首次随访时，肿瘤学家建议每 3 个月进行一次身体检查、肝功能检查和癌胚抗原（CEA）测量；前 3 年每 6 个月进行一次胸部、腹部和盆腔计算机断层扫描（CT）；并建议服用阿司匹林、补充维生素 D 和进行运动。在结肠癌患者的随访中，CT 扫描是否合适？（本病例在马萨诸塞州综合医院癌症中心进行了介绍。）
