NCCN Guidelines for Patients® | Ovarian Cancer - page 55

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Part 6: Follow-up tests
NCCN Guidelines for Patients
®
: Ovarian cancer
Version 1.2013
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After completing cancer treatment, the next step is observation with follow-up
tests. Observation is a period of testing after treatment to check that treatment
worked. Follow-up tests are done to check for any signs that the cancer has
started growing or has come back (recurred) after treatment.
Post-treatment follow-up tests
Ovarian cancer
Borderline ovarian cancer
Tests
Tests
Testing every 2–4 months for
2 years, then 3–6 months for
3 years, then once every year
• Physical and pelvic exam
• Blood tests:
Ž
Ž
CA-125 or other tumor
markers if initial test results
were high
Ž
Ž
CBC and chemistry profile
as needed
• Imaging tests:
Ž
Ž
CT, MRI, PET-CT, or PET of
chest, abdomen, and pelvis
as needed
Ž
Ž
Chest x-ray as needed
• Consider genetic counseling if
not done prior
Testing every 3–6 months for up to
5 years, then once every year
• Physical and pelvic exam
• Blood tests:
Ž
Ž
CA-125 or other tumor markers
if initial test results were high
Ž
Ž
CBC and chemistry profile
as needed
• Imaging tests:
Ž
Ž
Ultrasound as needed if you had
surgery that removed only one
ovary and Fallopian tube (fertility-
sparing surgery)
• If you had surgery that removed only
one ovary and Fallopian tube and you
are finished having babies, consider
completion surgery
Definitions:
Completion surgery:
Removal of the remaining
ovary (ovaries), Fallopian
tube(s), and uterus, and
possibly the omentum,
nearby supporting tissue,
and any remaining cancer
Tumor marker:
Substance
found in body tissue or fluid
that may be a sign of cancer
!
See Part 2 on
page 12 for more
test details and
definitions.
Acronyms:
CA-125 =
Cancer antigen
125
CBC =
Complete blood
count
CT =
Computed tomography
MRI =
Magnetic resonance
imaging
PET =
Positron emission
tomography
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