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My mom has recurrent UTIs.

Gynecologic Cancers | Last Active: 1 day ago | Replies (15)
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@lathomasmd

Hello Angie,
I am a family physician with ovarian cancer. According to the National Comprehensive Cancer Network (NCCN) guidelines for endometrial and uterine cancers, after treatment, surveillance pelvic exams should be done every 3-6 months for 2-3 years, then every 6-12 months after that. AND whenever new symptoms happen, such as pink discharge or pain.
Imaging should be done on a similar schedule AND when new symptoms occur.
In English: https://www.nccn.org/patients/guidelines/content/PDF/uterine-patient.pdf
In Spanish: https://www.nccn.org/patients/guidelines/content/PDF/uterine-esl-patient.pdf
Hope this helps : )
—Laurie

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Replies to "Hello Angie, I am a family physician with ovarian cancer. According to the National Comprehensive Cancer..."
val64 | @val64 | Mar 30 4:34pm

I assumed this surveillance protocol applied to patients who are NED, not patients with a known tumor who are actively being treated and monitored by CT scans.

I haven't had a pelvic exam in the year and a half since my recurrence was found. (by myself, doing a self-exam two weeks after the NP had done a pelvic exam and declared me all clear.). And I don't see any reason why I should, since I'm having CT scans every three months or so.

And actually, the NCCN guidelines don't recommend imaging at all during surveillance for stage 1 endometrial cancer, unless there are symptoms or other findings. My oncology team (at a top 10 cancer center) was dutifully following the NCCN guidelines, and not doing any imaging, when I had to self-diagnose my own recurrence and then go beg for a CT scan.

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