Table 4 Clinical presentation of colon cancer recurrence

GP-surveillance

1

F

Elevated CEA

Routine

CEUS

Disseminated

27

No

Inoperable

PET CT

2

M

Abdominal pain

Interval

CEUS

Liver

21

No

Inoperable

3

M

Elevated CEA

Routine

CEA

Disseminated

71

No

Inoperable

CT thorax

CT abdomen

4

M

Metastatic lesion detected at CEUS

Routine

CEUS

Liver

4

Yes

38

CT thorax

CT abdomen

5

F

Abdominal pain, normal CEA, CT and CEUS, disseminated cancer detected at laparotomy

Interval

CEUS

Disseminated

270

Yes

270

CT thorax

CT abdomen

6

M

Abdominal tenderness

Interval

Anorectoscopy

Local recurrence

2

Yes

30

CT thorax

CT abdomen

Surgeon-Surveillance

7

M

Metastatic lesion detected chest x-ray

Routine

CT thorax

Lung

45

Yes

62

CT abdomen

8

M

Stoma bleeding

Interval

Colonoscopy

Local and lymph node recurrence

10

No

Inoperable

CT thorax

CT abdomen

9

M

Weight loss

Routine

CT Thorax

Lung

45

No

Inoperable

Night sweating

CT abdomen

10

M

Metastatic lesion detected at chest-x ray

Routine

CT Thorax

Lung

4

Yes

42

CT abdomen

11

M

Metastatic lesion detected on CEUS

Routine

MR liver

Liver

3

Yes

43

CT thorax

CT abdomen

12

F

Abdominal pain

Interval

CT abdomen

Disseminated

16

No

Inoperable

CT thorax

13

M

Elevated CEA

Routine

CT thorax

Liver

30

No

Inoperable

CT abdomen

Lung

CT liver

14

F

Occult blood in faeces

Interval

CT thorax

Liver

31

Yes

35

CT abdomen

CEUS