Page 11 - ESGO - Vulvar cancer - Complete report_fxd2

5.10 Follow-up

 The optimal follow-up schedule for vulvar cancer is undetermined.
 After primary surgical treatment the following follow-up schedule is suggested:

 First follow-up 6-8 weeks postoperative
 First two years every three-four months
 Third and fourth year biannually
 Afterward, long-term follow-up, especially in case of predisposing vulvar disease.
Follow-up after surgical treatment should include clinical examination of vulva and groins.2
 After definitive chemoradiation the following follow -up schedule is suggested:
 First follow-up visit 10-12 weeks post completion of definitive chemoradiation.
 First two years every three-four months
 Third and fourth year biannually
 Afterward, long-term follow-up, especially in case of predisposing vulvar disease.
At first follow-up visit 10-12 weeks post definitive chemoradiation CT or PET -CT is recommended
to document complete remission.

2 Despite the well-recognized low sensitivity of palpation to identify groin recurrences, currently available data
do not support routine use of imaging of the groins in follow-up.

 VULVAR CANCER - GUIDELINES 
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