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. | 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. 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. | ||
==Secondary Prevention== | ==Secondary Prevention== | ||
===Follow Up=== | ===Follow Up=== | ||
*Follow-up for testicular seminoma is often shared among the oncologists and urologists and the family physicians. | *Follow-up for testicular seminoma is often shared among the oncologists and urologists and the family physicians. | ||
*Contact the concerned healthcare team if the patient experiences: | *Contact the concerned healthcare team if the patient experiences: | ||
:*any new lump or swelling | :*any new lump or swelling | ||
:*cough or trouble breathing | :*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. | *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. | ||
===Schedule for Follow-up Visits=== | ===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: | *Most men will have follow-up for testicular cancer for 5–10 years after initial treatment. Follow-up visits are usually scheduled: | ||
:*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 | ||
===During Follow-up Visits=== | ===During Follow-up Visits=== | ||
*During a follow-up visit, questions should be asked about the side effects of treatment and how they are coping. | *During a follow-up visit, questions should be asked about the side effects of treatment and how they are coping. | ||
*A thorough physical exam should be done, including: | *A thorough physical exam should be done, including: | ||
:*checking the remaining testicle | :*checking the remaining testicle | ||
:*feeling lymph nodes in your groin, abdomen, and chest | :*feeling lymph nodes in your groin, abdomen, and chest | ||
:*listening to your lungs | :*listening to your lungs | ||
:*checking your blood pressure and pulse | :*checking your blood pressure and pulse | ||
*Tests are often part of follow-up care include: | *Tests are often part of follow-up care include: | ||
:*Blood tests to check [[tumor marker|serum tumor marker levels]] to see if they returned to normal after treatment | :*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 | :*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 | :*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. | *If a recurrence is found, the situation of the patient is assessed and the best treatment plan is determined. | ||
==References== | ==References== | ||
Revision as of 13:03, 5 May 2019
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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 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
Follow Up
- Follow-up for testicular seminoma is often shared among the oncologists and urologists and the family physicians.
- Contact the concerned healthcare team if the patient experiences:
- 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.
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:
- 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.
- A thorough physical exam should be done, including:
- 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:
- 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.