Routine follow-up after treatment for a gynecological cancer: a survey of practice
- 1 January 2006
- journal article
- research article
- Published by BMJ in International Journal of Gynecologic Cancer
- Vol. 16 (1), 380-384
- https://doi.org/10.1111/j.1525-1438.2006.00421.x
Abstract
The objective of this study was to determine current practice with regards to follow-up after gynecological malignancy. A questionnaire survey of all lead clinicians in gynecological cancer centers in England was done. The most common duration of routine follow-up was 5 years for all of the main gynecological cancers (ovarian, endometrial, vulval, and cervical). The most common follow-up patterns were three monthly for 2 years then six monthly for 3 years after ovarian cancer; three monthly for the first year, four monthly for the second year, six monthly for the third year then annually for 1 year after endometrial cancer; three monthly for the first year, four monthly for the second year, six monthly for the third and fourth years, then annually for 1 year after vulval cancer; three monthly for the first year, four monthly for the second year, six monthly for the third and fourth years, then annually for 1 year after cervical cancer. The test for CA125 was routinely performed by 67% of cancer networks to detect recurrence after ovarian cancer. Routine follow-up after gynecological cancer continues to be standard practice, despite limited evidence to support its use. Prospective research is needed to determine best practice.Keywords
This publication has 17 references indexed in Scilit:
- The value of routine follow‐up in patients treated for carcinoma of the vulvaCancer, 2003
- Nurse led follow up and conventional medical follow up in management of patients with lung cancer: randomised trialBMJ, 2002
- Recurrent cervical cancer: detection and prognosisActa Obstetricia et Gynecologica Scandinavica, 2002
- Posttherapy Surveillance of Women with Cervical Cancer: An Outcomes AnalysisGynecologic Oncology, 2000
- Recurrent cervical carcinoma after radical hysterectomy: an analysis of clinical aspects and prognosisInternational Journal of Gynecologic Cancer, 1998
- Recurrent Stage IB cervical carcinoma: evaluation of the effectiveness of routine follow up surveillanceBJOG: An International Journal of Obstetrics and Gynaecology, 1996
- Postsurgical Surveillance of Patients with FIGO Stage I/II Endometrial AdenocarcinomaGynecologic Oncology, 1995
- An Evaluation of Routine Follow-Up of Patients Treated for Endometrial CarcinomaGynecologic Oncology, 1994
- Detection and patterns of treatment failure in 300 consecutive cases of “early” endometrial cancer after primary surgeryGynecologic Oncology, 1992
- Clinical surveillance of gynecologic cancer patientsGynecologic Oncology, 1992