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Follow-up care after treatment of uterine cancer

The Norwegian Radium Hospital at Oslo University Hospital has chosen to abandon adjuvant radiation treatment for patients with tumors belonging to the low and moderate risk groups. It is important to diagnose recurrence in these patients, since treatment of recurrence can give good results. Recurrences are most often localized to the pelvis and can usually be diagnosed by a gynecological exam.

Intervals for follow-up

  • During the first 2 years, there is a follow-up visit every 3 months.
  • From the third to the fifth years, follow-up visits are every 6 months.
  • After 5 years, follow-up visits are annual.

Appropriate examinations depend on the disease and the primary treatment given. A lung X-ray is taken every year. Patients who have primarily received surgical treatment are examined generally by gynecological examination and cytological specimen for the vaginal top. Patients who have received radiation therapy are examined by gynecological exam. There is no value in doing a cytological evaluation on tissue previously treated with radiation. 

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