T 50 complete volume calculation

Follow-up care for gynecological malignancies and breast cancer

CME questionnaire

Which statement makes about aftercare Not to?

Follow-up care begins with the completion of primary therapy.

The tasks and goals of follow-up care include the early detection of a local recurrence with potentially curative therapy to improve the prognosis.

Staging examinations are carried out regularly in order to detect asymptomatic metastases as early as possible.

Follow-up examinations can on the one hand be reassuring for the patient, on the other hand they can also increase fears.

Due to demographic change and improved oncological therapies, the number of follow-up patients is increasing.

Which statement on follow-up care for breast cancer is correct?

Tumor markers should be determined regularly during follow-up.

Regular restaging leads to an improvement in the quality of life for all women with breast cancer.

Follow-up care should be performed every 6 months for the first 3 years after completing primary treatment.

Local recurrences in breast cancer are potentially curable.

Positron emission tomography computed tomography (PET-CT) is the best imaging method in follow-up care for breast cancer in women.

Which statement on follow-up care and diagnosis of relapse in endometrial cancer is correct?

Follow-up examinations lead to increased survival in women with endometrial cancer.

In endometrial cancer, around 50% of recurrences remain asymptomatic.

Imaging examinations and tumor marker determinations should not be performed in asymptomatic patients during follow-up.

Most recurrences do not occur until about 5 years after the end of primary therapy.

Vaginal stump recurrences after endometrial cancer are rare.

A 67-year-old patient with post-endometrial cancer 2 years ago presented to your practice for a follow-up examination. Which examinations do you have to carry out for follow-up care for endometrial cancer?

Targeted anamnesis, speculum adjustment, rectovaginal examination

Targeted medical history, speculum adjustment, PAP smear (according to Papanicolaou) of the vaginal stump

Speculum adjustment, PAP smear of the vaginal stump, kidney ultrasound

Speculum adjustment, rectovaginal examination, kidney sonography

Targeted medical history, speculum adjustment, magnetic resonance imaging (MRI) of the pelvis

A 60-year-old patient with status post-endometrioid endometrial cancer, stage pT1a, G1, presented to her practice 6 weeks after the guideline-based primary therapy using hysterectomy and adnexectomy on both sides. She is physically symptom-free, but psychologically stressed and, for fear of a relapse, would like to have the follow-up examinations carried out more closely than recommended. Do you give the patient reassuring advice and explain that most endometrial cancer recurrences occur within what time frame?

Within the first year

Within the first 2 years

Within the first 3 years

Within the first 4 years

Within the first 5 years

Which statement about follow-up care for ovarian cancer is correct?

The early detection and treatment of recurrent ovarian cancer have a life-prolonging effect.

A compulsory component of the follow-up care is the annual computed tomography (CT) of the thorax and abdomen.

Regular determination of the tumor marker CA 12-5 can improve the patient's quality of life.

Vaginal sonography does not play a role in follow-up care for ovarian cancer.

The tumor marker CA 12‑5 should be determined if there is clinical suspicion of relapse and / or metastases.

What impact can the regular determination of the tumor marker CA 12-5 have on the quality of life and overall survival of patients with ovarian cancer?

Improving quality of life and improving overall survival

Deterioration in quality of life and deterioration in overall survival

No influence on overall survival, but improvement in quality of life

No influence on overall survival, but deterioration in quality of life

No impact on overall survival and no impact on quality of life

What time intervals are recommended for follow-up care for cervical cancer?

In the first 3 years 6 months, then annually for a further 2 years

In the first year 3 months, then for a further 2 years 6 months

In the first 4 years 3 months, in the 6th year 6 months and from the 7th year annually

In the first 5 years 6 months, then annually

Every 3 months for the first 3 years, then every 6 months for a further 2 years, and annually from the 6th year onwards

Which of the following follow-up examinations are mandatory for cervical cancer?

Test for HPV (human papillomavirus)

Colposcopy

Medical history and clinical examination

Anamnesis, clinical examination, speculum adjustment, PAP smear (according to Papanicolaou)

Anamnesis, clinical examination, speculum adjustment, abdominal ultrasound

What measure is used for regular aftercare of vulvar cancer Not recommended?

Targeted medical history

Speculum examination

Magnetic resonance imaging (MRI) of the pelvis

Biopsy suspicious findings

Inspection and palpation of the external and internal genitals