Provide structured, evidence-based follow-up care, that is led by a gynaecological oncologist and/or a radiation oncologist.
They should review symptoms and perform a clinical examination, including speculum and pelvic examination, at each visit. Alternating care between 2 subspecialists is recommended to support comprehensive care management.
Schedule follow-up:
- every 3 months for the first 2 years after treatment
- every 6 months in years 3 to 5
- annually thereafter.
Perform positron emission tomography – computed tomography (PET-CT) scans at 3 and 12 months after radiotherapy to assess response. Additional imaging is at the treating oncologist’s discretion. Abdominopelvic CT or PET to be performed if recurrence is suspected. Review results at the multidisciplinary team meeting to guide management.
Treatment is most effective when recurrences are detected early. Manage late treatment-related toxicities to support ongoing survivorship, including sexual, urinary and bowel health.
To ensure clinically appropriate, patient-centred care, tailor follow-up to:
- disease stage
- treatment modality
- comorbidities
- individual risk of recurrence.