They facilitate a seamless pathway from diagnosis to treatment. We Coordinate the Colorectal Cancer Pathway from Diagnosis to treatment Lothian wide and outwith. From Diagnosis, ensuring appropriate investigations to stage are arranged, allocating an appropriate surgeon to match treatment needs. Following up investigations and acting upon results, referral to CNS team, referrals to the wider MDT. Booking surgery and ensuring the pathway to surgery is as timely as possible. Arranging admissions when necessary, providing ongoing communication within the wider NHS departments. Communicating with the individual surgeons and collating information regarding patient care. Presenting patients at MDM in the absence of Consultants. Pathways Rectal cancers Diagnosis CT/CT Colon (chest) and MRI (pelvis/rectum) Flexble sigmoidoscopy or Colononoscopy Outpatient appointments Discussion at multiple disciplinary meeting (MDM) Other investigations Treatment Surgery Oncology Colon cancers Diagnosis (mostly from endoscopy) CT abdomen and pelvis CT Colonography and supplement CT chest Outpatient appointments Discussion at multiple disciplinary meeting (MDM) Other investigations Treatment Surgery Oncology Stent TEMs (transanal endoscopic minimally invasive surgery) Diagnosis Referral from Endosocopy or MDM (other Cons) ERUS (endoscopic rectal ultrasound)/Rigidsigmoidoscopy +/- MRI (usually already staged with CT) Outpatient appointments Treatment TEMS surgery This article was published on 2024-02-06
