Introduction/Background To identify the follow-up strategies of gynecologic malignancies across Europe and compare the correspondence with ESGO Guidelines.
Methodology In 2019, a web-based survey was sent to the National Representatives of European Network of Young Gynae-Oncologists (2017–2019). The questionnaire consists of the questions related with vulvar cancer, cervical cancer, endometrial cancer and ovarian cancer.
Results A total of 15/31 (48.3%) National Representatives responded the survey. Despite having a national guideline (>50%), the topic of follow-up was missing in some countries. The follow-up was mainly led by clinicians and performed by gynecologic oncology team (table 1). For each malignancy, gynecologic examination is performed at every visit. Responders stated that Pap-test is routinely performed during the follow-up of cervical cancer 8/8 (100.0%), additionally in endometrial cancer 4/7 (57.1%) of responders perform routine Pap-test. Serum Ca-125 level is never routinely preferred during the follow-up of endometrial cancer, however serum Ca-125 is mostly preferred routinely for ovarian cancer. Complete blood count-biochemical tests and chest X-ray are not routine tests to consider at every visit. Routine imaging is mostly preferred for ovarian cancer and computed tomography is the most common imaging technique in case of a suspicion of recurrence except vulvar cancer in which magnetic resonance imaging is preferred (table 2).
Conclusion This preliminary results indicated that follow-up periods are similar with ESGO Guidelines. One of the major differences is that cytology is not recommended after radical/simple hysterectomy or chemoradiation in cervical cancer and the other one is serum Ca-125 is not a reliable marker in non-High grade serous carcinoma of the ovary. ESGO Guidelines generally don't recommend routine imaging unless a clinically indicated situation. Finally, these preliminary results showed that majority of the responses are similar with ESGO Guidelines.
Disclosure Nothing to disclose
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