The Patient with Colon Carcinoma (Nutritional Needs)

The Case

A 56-year-old woman comes to see you for a follow-up examination 9 months after sustaining a left hemi-colectomy for a non-obstructing stage III adenocarcinoma of the transverse colon followed by 6 months of adjuvant chemotherapy. The patient has now fully recovered. Her physical examination is normal except for the surgical scar. CBC, transaminases and CEA levels are normal. She is presently under a surveillance regimen that includes CEA monitoring every 3 to 6 months, colonoscopy 1 year after her resection, as well as follow-up colonoscopy and computed tomography (CT) of the chest, abdomen, and pelvis every 3 to 5 years.