Colon Cancer – Care to Care's Clinical Criteria

Initial Staging prior to resection

CT Chest, Abdomen and Pelvis

MRI of abdomen and Pelvis if IV contrast is contraindicated, CT chest without contrast is acceptable

PET is NOT routinely indicated

Surveillance Imaging

No Metastatic Disease Known (for Stage II and Stage III Disease)

CT Chest, Abdomen and Pelvis yearly for three years

PET is NOT routinely recommended

Metastatic disease suspected or proven

CT Chest, Abdomen and Pelvis

MRI if there is consideration of resecting liver metastases

PET if surgical attempt at cure is considered

CT Chest, Abdomen and Pelvis (may repeat after 3 months if negative) OR

PET if CT negative

NCCN Practice Guidelines in Oncology v.3.2012 Colon Cancer accessed 08/22/2012

NCCN Practice Guidelines in Oncology v.2.2010 Colon Cancer accessed 04/27/10

NCCN Practice Guidelines in Oncology v.2.2010 Colon Cancer accessed 04/27/10

Christopher E. Desch, Al B. Benson III, Mark R. Somerfield , Patrick J. Flynn, Carol Krause, Charles L. Loprinzi, Bruce D. Minsky, David G. Pfister, Katherine S. Virgo, and Nicholas J. Petrelli; Colorectal Cancer Surveillance: 2005 Update of an American Society of Clinical Oncology Practice Guideline; Journal of Clinical Oncology, Vol 23, No 33 (November 20), 2005: pp. 8512-8519

Figueredo A, Rumble RB, Maroun J, Earle CC, Cummings B, McLeod R, Zuraw L, Zwaal C, Gastrointestinal Cancer Disease Site Group of Cancer Care Ontario’s Program in Evidence-based Care. Follow-up of patients with curatively resected colorectal cancer: a practice guideline. BMC Cancer. 2003 Oct 6; 3:26. Epub 2003 Oct 6.