Is the possibility of recurrence high after resection of rectal adenocarcinoma?

Mar 19, 2025 Source: Cainiu Health
Disease description:

I am a 50-year-old male. I was previously diagnosed with rectal adenocarcinoma and underwent surgical resection. My postoperative recovery was good, but recently I have been feeling some physical discomfort and am concerned about possible cancer recurrence.

Doctor's answer (1)
Dr. Qi Zhirong

There is a possibility of recurrence after the removal of rectal adenocarcinoma, although the exact probability varies from person to person and depends on multiple factors. Surgical resection is one of the primary treatment methods for rectal adenocarcinoma, but even after successful surgery, local recurrence or distant metastasis may still occur. The risk of recurrence is closely related to factors such as tumor stage, pathological type, completeness of surgical resection, and the presence of high-risk factors such as lymph node metastasis. Additionally, the effectiveness of postoperative adjuvant treatments, such as chemotherapy and radiotherapy, also influences the recurrence rate.

To reduce the risk of recurrence and detect any potential recurrence promptly, regular follow-up is essential. Postoperative follow-up examinations, including blood tests, imaging studies, and endoscopic examinations, should be conducted according to the physician's recommendations. These examinations can help identify any abnormal changes at an early stage. At the same time, maintaining a healthy lifestyle can also help reduce the risk of recurrence. A balanced diet, moderate exercise, smoking cessation, alcohol moderation, and avoiding excessive fatigue and mental stress can all contribute to enhancing overall immune function. If any new symptoms or discomfort arise, prompt medical attention should be sought for early diagnosis and treatment.