Endometrial cancer secondary prevention
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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:
- Complete physical examination
- Pelvic examination
- 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
- ↑ 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