Seminoma secondary prevention: Difference between revisions

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==Overview==
==Overview==
Secondary prevention strategies following seminoma include regular follow-ups for every 2–6 months for the first 3 years and every 6–12 months after 3 years.<ref name=Followupafterreatmentfortesticularcancer1>Follow-up after treatment for testicular cancer. Canadian cancer society 2016. http://www.cancer.ca/en/cancer-information/cancer-type/testicular/treatment/follow-up/?region=on. Accessed on March 2, 2016</ref> Tests are often part of follow-up care include blood tests to check [[tumor marker|serum tumor marker levels]], chest x-rays, and CT scans of the abdomen and pelvis.<ref name=Followupafterreatmentfortesticularcancer1>Follow-up after treatment for testicular cancer. Canadian cancer society 2016. http://www.cancer.ca/en/cancer-information/cancer-type/testicular/treatment/follow-up/?region=on. Accessed on March 2, 2016</ref>
Effective measures for the secondary [[Prevention (medical)|prevention]] of seminoma include regular follow-ups for every 2–6 months for the first 3 years and every 6–12 months after 3 years. Tests are often part of follow-up care include [[Blood test|blood tests]] to check [[tumor marker|serum tumor marker levels]], [[Chest X-ray|chest x-rays]], and [[Computed tomography|CT scans]] of the [[abdomen]] and [[pelvis]].


==Secondary Prevention==
==Secondary Prevention==
===Follow Up===
*Follow-up for testicular seminoma is often shared among the oncologists and urologists and the family physicians.<ref name=Followupafterreatmentfortesticularcancer1>Follow-up after treatment for testicular cancer. Canadian cancer society 2016. http://www.cancer.ca/en/cancer-information/cancer-type/testicular/treatment/follow-up/?region=on. Accessed on March 2, 2016</ref>
*Contact the concerned healthcare team if the patient experiences:<ref name=Followupafterreatmentfortesticularcancer1>Follow-up after treatment for testicular cancer. Canadian cancer society 2016. http://www.cancer.ca/en/cancer-information/cancer-type/testicular/treatment/follow-up/?region=on. Accessed on March 2, 2016</ref>
:*any new lump or swelling
:*cough or trouble breathing
*The chance of seminoma recurring is greatest within 2 years, so close follow-up is needed during this time. Even if it recurs, it can be treated.<ref name=Followupafterreatmentfortesticularcancer1>Follow-up after treatment for testicular cancer. Canadian cancer society 2016. http://www.cancer.ca/en/cancer-information/cancer-type/testicular/treatment/follow-up/?region=on. Accessed on March 2, 2016</ref>


===Schedule for Follow-up Visits===
*Effective measures for the secondary prevention of seminoma include:<ref name="pmid21819630">{{cite journal |vauthors=Boujelbene N, Cosinschi A, Boujelbene N, Khanfir K, Bhagwati S, Herrmann E, Mirimanoff RO, Ozsahin M, Zouhair A |title=Pure seminoma: a review and update |journal=Radiat Oncol |volume=6 |issue= |pages=90 |date=August 2011 |pmid=21819630 |pmc=3163197 |doi=10.1186/1748-717X-6-90 |url=}}</ref><ref name="PalyEfstathiou20132">{{cite journal|last1=Paly|first1=Jonathan J.|last2=Efstathiou|first2=Jason A.|last3=Hedgire|first3=Sandeep S.|last4=Chung|first4=Peter W.M.|last5=O’Malley|first5=Martin|last6=Shah|first6=Anand|last7=Bekelman|first7=Justin E.|last8=Harisinghani|first8=Mukesh|last9=Shipley|first9=William U.|last10=Zietman|first10=Anthony L.|last11=Beard|first11=Clair|title=Mapping patterns of nodal metastases in seminoma: Rethinking radiotherapy fields|journal=Radiotherapy and Oncology|volume=106|issue=1|year=2013|pages=64–68|issn=01678140|doi=10.1016/j.radonc.2012.12.002}}</ref>
*Most men will have follow-up for testicular cancer for 5–10 years after initial treatment. Follow-up visits are usually scheduled:<ref name=Followupafterreatmentfortesticularcancer1>Follow-up after treatment for testicular cancer. Canadian cancer society 2016. http://www.cancer.ca/en/cancer-information/cancer-type/testicular/treatment/follow-up/?region=on. Accessed on March 2, 2016</ref>
** Follow-up [[Patient|patients]]:
:*every 2–6 months for the first 3 years
***Every 2–6 months for the first 3 years
:*every 6–12 months after 3 years
***Every 6–12 months after 3 years
 
**Follow-up test include:
===During Follow-up Visits===
*:*[[Blood test|Blood tests]] to check [[tumor marker|serum tumor marker levels]] to see if they returned to normal after treatment
*During a follow-up visit, questions should be asked about the side effects of treatment and how they are coping.<ref name=Followupafterreatmentfortesticularcancer1>Follow-up after treatment for testicular cancer. Canadian cancer society 2016. http://www.cancer.ca/en/cancer-information/cancer-type/testicular/treatment/follow-up/?region=on. Accessed on March 2, 2016</ref>
*:*[[Chest X-ray|Chest x-rays]] to check if cancer has [[Metastasis|metastasized]] to the [[Lung|lungs]]
*A thorough physical exam should be done, including:<ref name=Followupafterreatmentfortesticularcancer1>Follow-up after treatment for testicular cancer. Canadian cancer society 2016. http://www.cancer.ca/en/cancer-information/cancer-type/testicular/treatment/follow-up/?region=on. Accessed on March 2, 2016</ref>
*:*[[Computed tomography|CT scans]] of the [[abdomen]] and [[pelvis]] to look for any residual [[disease]] or that has [[Metastasis|metastasized]] elsewhere
:*checking the remaining testicle
:*feeling lymph nodes in your groin, abdomen, and chest
:*listening to your lungs
:*checking your blood pressure and pulse
*Tests are often part of follow-up care include:<ref name=Followupafterreatmentfortesticularcancer1>Follow-up after treatment for testicular cancer. Canadian cancer society 2016. http://www.cancer.ca/en/cancer-information/cancer-type/testicular/treatment/follow-up/?region=on. Accessed on March 2, 2016</ref>
:*Blood tests to check [[tumor marker|serum tumor marker levels]] to see if they returned to normal after treatment
:*Chest x-rays to check if cancer has metastasized to the lungs
:*CT scans of the abdomen and pelvis to look for any residual disease or that has metastasized elsewhere
*If a recurrence is found, the situation of the patient is assessed and the best treatment plan is determined.<ref name=Followupafterreatmentfortesticularcancer1>Follow-up after treatment for testicular cancer. Canadian cancer society 2016. http://www.cancer.ca/en/cancer-information/cancer-type/testicular/treatment/follow-up/?region=on. Accessed on March 2, 2016</ref>


==References==
==References==

Latest revision as of 15:54, 6 May 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sogand Goudarzi, MD [2]

Overview

Effective measures for the secondary prevention of seminoma include regular follow-ups for every 2–6 months for the first 3 years and every 6–12 months after 3 years. Tests are often part of follow-up care include blood tests to check serum tumor marker levels, chest x-rays, and CT scans of the abdomen and pelvis.

Secondary Prevention

References

  1. Boujelbene N, Cosinschi A, Boujelbene N, Khanfir K, Bhagwati S, Herrmann E, Mirimanoff RO, Ozsahin M, Zouhair A (August 2011). "Pure seminoma: a review and update". Radiat Oncol. 6: 90. doi:10.1186/1748-717X-6-90. PMC 3163197. PMID 21819630.
  2. Paly, Jonathan J.; Efstathiou, Jason A.; Hedgire, Sandeep S.; Chung, Peter W.M.; O’Malley, Martin; Shah, Anand; Bekelman, Justin E.; Harisinghani, Mukesh; Shipley, William U.; Zietman, Anthony L.; Beard, Clair (2013). "Mapping patterns of nodal metastases in seminoma: Rethinking radiotherapy fields". Radiotherapy and Oncology. 106 (1): 64–68. doi:10.1016/j.radonc.2012.12.002. ISSN 0167-8140.

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