Onco Checklist >> Rectal Cancer Staging
| Histology | Result | |
|---|---|---|
| Colonoscopy with biopsies | ||
| Histology from other lesions, if unclear stage (liver, lungs, bones) |
| Patient history | Result | |
|---|---|---|
| Weight loss | ||
| Stool (hematochezia, melena) | ||
| Bone pain | ||
| 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 examination | Result | |
|---|---|---|
| Rectal examination | ||
| Heart/lungs, abdomen (ascites?, liver palpable?) |
| Clinical chemistry | Result | |
|---|---|---|
| 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 |
| Virology | Result | |
|---|---|---|
| HIV 1 and 2 | ||
| Hepatitis B | ||
| Hepatitis C |
| Imaging and further examinations | Result | |
|---|---|---|
| CT of thorax and abdomen | ||
| Endoscopic Ultrasound (for T/N-stages) | ||
| Echocardiography | ||
| Spirometry | ||
| EKG |
| Referral to other specialties | Result | |
|---|---|---|
| Surgery | ||
| Radiotherapy for neoadjuvant radio-chemotherapy |
| Studies | Result | |
|---|---|---|
| Study inclusion possible? | yes no | |
| Study: |
