FollowUp Recommendations

Based on the patterns of recurrence the following scheme is suggested. A maximum follow-up of 5 years is recommended. The majority of recurrences will develop within the first 2 years, hence there is more intense follow-up in these years. During the first 2 years, a 3-month follow-up is recommended in the patients who have undergone penile-preserving techniques and 6-month interval for patients undergoing a penile amputation. The role of self-examination by the patient should also be emphasized.

Regarding the follow-up of the regional lymph nodes during the first 2 years, a more intense follow-up is advised in the patients who underwent close surveillance (pNX), are staged with minimally invasive staging techniques (such as dynamic sentinel node biopsy), or staged pN+. Patients staged pN0 after prophylactic lymph-adenectomy have a lower risk of recurrence and can be managed less strictly with 6-month intervals in the first 2 years. Ultrasound with FNAC of suspicious-looking nodes is recommended when indicated in addition to a physical examination in order to detect metastases that are difficult to palpate. For all these groups mentioned above, the follow-up can be less intense in years 3, 4, and 5 (Table 14.2). Additional imaging should be performed on indication.

10 Ways To Fight Off Cancer

10 Ways To Fight Off Cancer

Learning About 10 Ways Fight Off Cancer Can Have Amazing Benefits For Your Life The Best Tips On How To Keep This Killer At Bay Discovering that you or a loved one has cancer can be utterly terrifying. All the same, once you comprehend the causes of cancer and learn how to reverse those causes, you or your loved one may have more than a fighting chance of beating out cancer.

Get My Free Ebook


Post a comment