PT J AU Piko, B Rahoty, P Kremer, I Zsilak, J Torok, E Bassam, A Csiffari, M Dimak, S Kis, A Rus-Gal, P Szabo, Zs Vereb, B Puskasne Szatmari, K AF Piko, Bela Rahoty, Pal Kremer, Ildiko Zsilak, Janos Torok, Eniko Bassam, Ali Csiffari, Margit Dimak, Sandor Kis, Anita Rus-Gal, Paul Szabo, Zsolt Vereb, Blanka Puskasne Szatmari, Klara TI Detection of multiple colon and rectal tumors during diagnostic treatment and follow-up SO MAGYAR ONKOLOGIA LA Hungarian DT Review DE kolorektalis karcinoma; multiplex beltumorok; kolonoszkopia; elsodleges kivizsgalas; gondozas ID kolorektalis karcinoma; multiplex beltumorok; kolonoszkopia; elsodleges kivizsgalas; gondozas AB Recognition of the commonly encountered colorectal cancer (CRC) generally begins and takes place because of and based on symptoms and signs, due to the unsettled screening of this type of cancer. Sometimes, because of advanced stage cancer urgent surgical intervention could become necessary and, if this is the case, there is no time and possibility for searching for an eventual second tumor and perhaps the patient’s status does not permit performing intraoperative investigations either. The incidence of multiple colon cancer is considered to be between 2.5 and 30% according to the literature. That is why one should exclude them even in the absence of pre- and intraoperative investigations and complaints. On the other hand, colonoscopy and perhaps irrigoscopy of seemingly healthy followed-up patients is mandatory. In the case of the presence of complaints/symptoms denoting impaired intestinal passage seen in a followed-up patient or during the adjuvant setting or metastatic/recurrent disease, treatment and even during hospice care we should evaluate the possibility of a second metachronous tumor. Moreover, if there is no urgency, the multidisciplinary team (oncoteam) should recommend the adequate treatment by balancing gain/utility and risk. C1 [Piko, Bela] Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza, Klinikai Onkologiai es Sugartherapias Osztaly, Semmelweis u. 1., 5700 Gyula, Hungary. [Rahoty, Pal] MH Honvedkorhaz, Sebeszeti OsztalyBudapest, Hungary. [Kremer, Ildiko] Pest Megyei Flor Ferenc Korhaz, Aneszteziologiai es Intenziv Terapias OsztalyKistarcsa, Hungary. [Zsilak, Janos] Bekescsaba Varosi Onkormanyzat Rethy Pal Korhaza, Sebeszeti OsztalyBekescsaba, Hungary. [Torok, Eniko] Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza, Radiologiai OsztalyGyula, Hungary. [Bassam, Ali] Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza, Klinikai Onkologiai es Sugartherapias Osztaly, Semmelweis u. 1., 5700 Gyula, Hungary. [Csiffari, Margit] Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza, Klinikai Onkologiai es Sugartherapias Osztaly, Semmelweis u. 1., 5700 Gyula, Hungary. [Dimak, Sandor] Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza, Klinikai Onkologiai es Sugartherapias Osztaly, Semmelweis u. 1., 5700 Gyula, Hungary. [Kis, Anita] Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza, Klinikai Onkologiai es Sugartherapias Osztaly, Semmelweis u. 1., 5700 Gyula, Hungary. [Rus-Gal, Paul] Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza, Klinikai Onkologiai es Sugartherapias Osztaly, Semmelweis u. 1., 5700 Gyula, Hungary. [Szabo, Zsolt] Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza, Klinikai Onkologiai es Sugartherapias Osztaly, Semmelweis u. 1., 5700 Gyula, Hungary. [Vereb, Blanka] Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza, Klinikai Onkologiai es Sugartherapias Osztaly, Semmelweis u. 1., 5700 Gyula, Hungary. [Puskasne Szatmari, Klara] Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza, Klinikai Onkologiai es Sugartherapias Osztaly, Semmelweis u. 1., 5700 Gyula, Hungary. RP Piko, B (reprint author), Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza, Klinikai Onkologiai es Sugartherapias Osztaly, 5700 Gyula, Hungary. EM dr.piko.bela@gmail.com NR 4 PU Hungarian Cancer Society PI Budapest PA 7-9 Rath Gyorgy, Budapest H-1122, Hungary SN 0025-0244 J9 MagyOnkol JI Magy Onkol PD NOV PY 2011 VL 55 IS 4 BP 244 EP 249 PG 6 ER EF