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Onco Checklist >> Rectal Cancer Staging

 

 HistologyResult
Colonoscopy with biopsies 
Histology from other lesions, if unclear stage (liver, lungs, bones) 


Patient historyResult
 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 examinationResult
 Rectal examination 
  Heart/lungs, abdomen (ascites?, liver palpable?) 


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
 


VirologyResult
 HIV 1 and 2 
 Hepatitis B 
 Hepatitis C 


 Imaging and further examinationsResult
CT of thorax and abdomen
 
Endoscopic Ultrasound (for T/N-stages) 
Echocardiography 
Spirometry 
EKG 


 Referral to other specialtiesResult
Surgery 
Radiotherapy for neoadjuvant radio-chemotherapy 


StudiesResult
 Study inclusion possible? yes no
 Study: 



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