The purpose of postoperative review of esophageal cancer and cardia cancer is to check whether there is recurrence and metastasis. Although review cannot prevent or delay recurrence or metastasis, it is possible to detect it early so that corresponding remedial measures may be taken.
Since it is impossible to predict when the tumor will metastasize or recur, the time and content of the review are general rules, or even habits, and the specific content of the review should be combined with the early and late stage of the tumor and the degree of tumor differentiation.
The time and content of review refer to the following table.
Reviewing time Reviewing content
3 months Chest CT, abdominal ultrasound (liver, gallbladder, pancreas, spleen, abdominal cavity and retroperitoneal lymph nodes)
6 months Chest CT, abdominal ultrasound, upper gastrointestinal tract imaging, tumor markers
9 months Chest CT, abdominal ultrasound
12 months Chest CT, abdominal ultrasound, gastroscopy, tumor markers
18 months Same as at 6 months
24 months Same as 12 months
30 months Same as 6 months
36 months Same as 12 months
42 months Same as 6 months
48 months Same as 12 months
54 months Same as 6 months
60 months Same as 12 months
Note: 1.
1.”Review time” means from the date of surgery, 3 months, 6 months ……, and so on.
2.The above review contents are common after the general surgery, if the surgery has special circumstances that need special tracking, for example
(1) If there is cancer residue in the cut edge of postoperative pathology report, the interval between upper ablation angiography and gastroscopy should be shortened, for example, once in 3 months, to prevent tumor recurrence.
(2) Generally, plain CT of the chest is sufficient, but if there are mediastinal or abdominal lymph node metastasis or tumor residue in the postoperative pathology report, it is better to do enhanced CT.
(3) If conditions permit, enhanced CT or MRI examination of the head and bone scan examination are also feasible every year.
(4) Tumor marker examination is best to have a control of preoperative examination results, because this examination is relatively expensive, it is better to selectively check several items, such as SCC, Cefra21-1. If the economic conditions are average, unless there are elevated indicators in preoperative examination, then it is also possible not to check tumor markers.
(5) If chemotherapy or radiotherapy was performed after surgery, it is also possible to combine these two adjuvant treatments and listen to the review plan of chemotherapy or radiotherapy doctors for a period of time.
(3) More than 5 years after surgery, generally, the examination should be conducted once a year, and the content should be the same as the annual examination, if you do not want to continue the examination, you can also.
4.The above is a regular review without special circumstances, if special discomfort occurs, it should be reviewed at any time to understand what has happened.
5, combined with the local medical conditions, the review in the local hospital (refers to foreign hospitals) and the surgical hospital (refers to our hospital) are available.