Seminoma secondary prevention: Difference between revisions

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==Overview==
==Overview==
Secondary prevention strategies following seminoma include regular follow-ups.


==Secondary Prevention==
==Secondary Prevention==

Revision as of 13:51, 3 March 2016

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

Overview

Secondary prevention strategies following seminoma include regular follow-ups.

Secondary Prevention

Follow Up

  • Follow-up for testicular seminoma is often shared among the oncologists and urologists and the family physicians.[1]
  • Contact the concerned healthcare team if the patient experiences:[1]
  • 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.[1]

Schedule for Follow-up Visits

  • Most men will have follow-up for testicular cancer for 5–10 years after initial treatment. Follow-up visits are usually scheduled:[1]
  • every 2–6 months for the first 3 years
  • every 6–12 months after 3 years

During Follow-up Visits

  • During a follow-up visit, questions should be asked about the side effects of treatment and how they are coping.[1]
  • A thorough physical exam should be done, including:[1]
  • 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:[1]
  • Blood tests to check 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.[1]

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 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

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