Endometrial cancer secondary prevention: Difference between revisions

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Line 16: Line 16:
:* Pelvic examination
:* Pelvic examination
::* Inguinal nodes
::* Inguinal nodes
::* [[Pap test]] to look for cancer cells in the upper part of the vagina, near the area where the uterus used to be
::* [[Pap test]] to detect cancer cells in the upper vagina
3. The following test are recommended to check for recurrence:
3. The following test are recommended to check for recurrence:
:* [[Chest x-ray]] may be done yearly
:* [[Chest x-ray]] may be done yearly

Revision as of 16:38, 28 September 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]

Overview

The risk of recurrence of endometrial cancer is highest within 2 years. Life-time follow-up is needed, especially within the first 2 years following diagnosis and successful treatment. Routine follow-up visists occur at 3-4 months interval during the first 2 years, at 6 months interval during the next 3 years, and yearly thereafter.

Secondary Prevention

The risk of recurrence of endometrial cancer is highest within 2 years. Life-time follow-up is needed, especially within the first 2 years following diagnosis and successful treatment.[1]

1. Follow-up visits are routinely scheduled as shown below:

  • Every 3–4 months during the first 2 years
  • Every 6 months during the next 3 years
  • Yearly thereafter

2. Follow-up visit includes:

  • Inguinal nodes
  • Pap test to detect cancer cells in the upper vagina

3. The following test are recommended to check for recurrence:

  • Chest x-ray may be done yearly
  • CT scan may be done if the woman has symptoms or something is found during the examination
  • Serum concentration of cancer antigen 125 (CA125) may be checked for abrupt elevations

4. If a recurrence is detected during follow-up, a thorough oncological reassessment is required for adequate management.

References

  1. Follow-up after treatment for uterine cancer. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/uterine/treatment/follow-up/?region=ns. URL Accessed on September, 22 2015


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