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Recommendations for Follow-up Care for Gynecologic Cancer Survivors

Elit, Laurie MD, MSc; Reade, Clare J. MD, MSc

doi: 10.1097/AOG.0000000000001129
Contents: Clinical Expert Series
Expert Discussion
Spanish Translation

Gynecologic cancer survivors are expected to increase in number over the coming years. This is attributable in part to an increased incidence of gynecologic malignancies as the population ages. Earlier detection and improved treatments will lead to improved survival. Women who have completed their cancer treatment and are disease-free enter a phase of follow-up care. This care can be provided by gynecologic oncologists, general gynecologists, or primary care practitioners, depending on local practices and geographic area. The key components of follow-up include complete history and physical examination. There should be judicious use of appropriate testing to detect disease recurrence, assessment, and management of therapy-related symptoms and provision of psychosocial support. Well-woman care and ongoing screening for other malignancies remain an important component of care that should not be overlooked. This review provides recommendations regarding follow-up care for women with gynecologic malignancies. There is very little high-quality evidence available to guide such care.

Supplemental Digital Content is Available in the Text.The role of follow-up care after cancer treatment is to identify recurrent disease, manage treatment-related symptoms, and provide psychosocial support.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, McMaster University, Hamilton, Canada.

Corresponding author: Laurie Elit, MD, MSc, Juravinski Cancer Centre, 699 Concession Street, Hamilton, Ontario, Canada, L8V 5C2; e-mail:

Financial Disclosure The author did not report any potential conflicts of interest.

The authors thank Michelle Marcotte for editorial assistance.

Continuing medical education for this article is available at

© 2015 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.