Page 10 - Vulvar Cancer Guidelines Summary fxd

FOLLOW-UP

✓ The optimal follow-up schedule for vulvar cancer is undetermined.
✓ After primary surgical treatment, a follow-up schedule is suggested:

• First follow-up, 6-8 weeks postoperative
• First two years, every 3-4 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.

✓ After definitive (chemo)radiation, a follow-up schedule is suggested:
• First follow-up visit, 10-12 weeks post completion of definitive (chemo)radiation.
• 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 the first follow-up visit 10-12 weeks post definitive (chemo)radiation, CT or PET-CT is recom-
mended to document complete remission.

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

8 • VULVAR CANCER - GUIDELINES •