According to NCCN guidelines, all Stage II patients should be given a written survivorship plan and should have 5-year follow-up.
Some of the follow-up guidelines mentioned by NCCN for Stage II patients are:
History and physical every 3–6 mo for 2 y, then every 6 mo for a total of 5 y
• CEA every 3–6 mo for 2 y, then every 6 mo for a total of 5 y
• Chest/abdominal/pelvic CT every 6–12 mo ... for a total of 5 y
• Colonoscopy in 1 y except if no preoperative colonoscopy due to obstructing lesion, colonoscopy in 3–6 mo; if advanced adenoma, repeat in 1 y ;if no advanced adenoma,repeat in 3 y, then every 5
. . .
Counseling Regarding Healthy Lifestyle and Wellness:
• Maintain a healthy body weight throughout life.
• Adopt a physically active lifestyle (at least 30 minutes of moderate intensity activity on most days of the week).
• Consume a healthy diet with emphasis on plant sources. Diet recommendations may be modified based on severity of bowel dysfunction.
• Consider low-dose aspirin.
• Limit alcohol consumption.
• Receive smoking cessation counseling as appropriate.
You should select a doctor who agrees to be in charge of overseeing your 5 year plan and who will make sure that periodic follow-up check-ups are done according to schedule.
You should also have a look at your overall risk factor profile for colon cancer.
Do you have any risk factors for colon cancer? Here is a link to the Mayo Clinic website where they give a list of thirteen risk factors for colon cancer. Do you have any of these 13 risk factors?Risk Factors - Factors that may increase your risk of colon cancer
(scroll to bottom of the web page below to see the list)https://www.mayoclinic.org/diseases-conditions/colon-cancer/symptoms-causes/syc-20353669
If you are Stage II and don't have any of these 13 risk factors, then you are in good shape. However, if you are Stage II and have one or more of the 13 risk factors on the list, then you should probably see an oncologist and discuss how your risk-factor profile may affect your overall survival and discuss ways that you could lower your overall risk.