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Genitourinary Cancers • Medical Oncology
What surveillance strategy do you use for patients after resection of localized renal cell cancer?
NCCN guidelines offer suggested schedules for interval imaging and laboratory studies, but also make it clear that the quality of evidence for these recommendations is not high, and that physician discretion and patient preference should be used to individualize surveillance plans.
Answer from: Medical Oncologist at Academic Institution
Surveillance depends on the pathological stage of the patient. For T1a disease I follow annually. For T1b disease and higher I follow q 6 mos with MRI imaging if abdimen and low dose Ct of chest. I do not perform imaging of bones or brain without a clinical indication. For LN positive disease i star...
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