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Onco Checklist >> Colon Cancer Staging

 


HistologyResult
Colonoscopy with biopsies 
Histologies from unclear lesions (e. g. liver, lungs) 


Patient historyResult
 Weight loss 
 Stool (hematochezia, melena) 
 Age < 50 years? HNPCC possible? Check Amsterdam criteria 
 Ulcerative Colitis? 
Important: Recommend colonoscopy for all first degree relatives 10 years before age of patient's diagnosis. 


Physical examinationResult
 Rectal examination
Heart/lungs, abdomen (ascites?, liver palpable?)
 
 Height and weight 
 Blood pressure and pulse 


Clinical chemistryResult
 Blood count
Electrolytes
Creatinine
Creatinine clearance (calculated)
Liver enzymes (AST; ALT; G-GT)
Bilirubin
ESR
Alk Phos
Coagulation parameters (incl. ATIII, D-dimers, fibrinogen)
LDH
CRP
 
Tumor markers CEA, CA19-9 as baseline examination 


VirologyResult
 HIV 1 and 2 
 Hepatitis B 
 Hepatitis C 



Imaging and further examinations
Result
CT of thorax, abdomen 
   



Referral to other specialtiesResult
Surgery  


Studies
Result
 Study inclusion possible?yes no
 Study: 



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