How would your follow-up change for a patient, non-surgical candidate, with endometrial cancer treated with definitive radiation?

I assume that the question refers to how follow-up would differ between a patient treated adjuvantly, i.e., following surgery, versus treated definitively, i.e., not a surgical candidate. I think there are quite a few variables here. Probably the most important consideration is the extent to which the referring gyn oncologist plans to follow the patient. I suspect that there is reasonable variation among physicians and institutions in this regard.

In general, I see all patients for a 1-month follow-up, and if they're doing well, I schedule a follow-up 2 months later with the gyn oncologist. After that, we tend to alternate follow up for patients treated definitively. A well done pelvic exam is, of course, part of every follow-up visit. Ofte...

This is our imaging philosophy and if the first MRI at 3 months is normal, then just clinical examination and if still equivocal, then repeat MRI.

Gebhardt et al., PMID 31005602