Surveillance

Surveillance CT for head and neck cancer – pro

Surveillance CT scans are not recommended foir treated head and neck cancer. Multiple studies show that the routine follow-up program after treatment for laryngeal carcinoma did not lead to survival benefit for asymptomatic patients with tumor recurrence. A proven correlation between intensive follow-up and improved patient survival is lacking and should be consdiered unproven and investigtional at this time. NCCN recommend imaging of the primary

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Surveillance for endometrial cancer – pro

Current guidelines of the National Comprehensive Cancer Network (NCCN) and the American Congress of Obstetricians and Gynecologists recommend physical examination every 3-6 months for 2 years, then every 6 months or annually. Further evaluation with vaginal cytologic evidence is recommended every 6 months for 2 years and annually thereafter. To date, there are no prospective studies that have evaluated the role of surveillance in endometrial cancer

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Posttreatment surveillance after hepatic metastases resection for colorectal cancer – pro

There are few guidelines on how to follow metastatic colon cancer patients with no evidence of disease because it is fairly new situation, with wider use of metasatectomy and after new effective drugs came on the scene and there are no mature studies. For high risk non-metastatic colon cancer,  NCCN guidelines for high risk colon cancers recommend annual CT of chest, abdomen and pelvis. Post-surgery surveillance is also warranted following resection

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Radiologic follow-up of pituitary tumors – pro

Pituitary tumors are classified as micoradenomas, sometimes called incidentalomas, because they tend to be asymptomatic and discovered incidentally, and macroadenomas. BMJ Best PRactice (2012) says that  there is no consensus about the follow-up duration of patients with non-functional pituitary microadenomas, but recommends a follow-up MRI in 1 year with no further routine imaging study if the tumour is stable, especially in those with a pituitary

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