Follow up of uterine sarcoma – pro
For uterine sarcoma, NCCN recommends chest Xray or CT every 6-12 months as necessary for up to 5 years.
Routine surveillance intervals are typically every 3-4 months for the first 2 years, since 85% of recurrences occur in the first 2 years after diagnosis. Intervals are every 6 months for the next 3 years and annually thereafter. Each visit should include a pelvic examination, a Papanicolaou test, and a lymph node survey. Chest radiographs may be taken annually. CA-125 levels are helpful if they were elevated preoperatively in advanced-stage cancers. Most recurrences are discovered during evaluation of symptomatic patients. Most recurrences in early-stage disease are at the vaginal cuff and pelvis.
nccn.org, UTSARC-1
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