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What is your follow up schedule after completion of RT for pediatric rhabdomyosarcoma?

When/how often do you order imaging?
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Stanford University School of Medicine
Answered on

Imaging surveillance is an interesting and yet complicated issue. If a child is enrolled upon a prospective randomized trial for which informed consent has been given, then every effort should be made to follow the protocol guidelines, which are designed to answer a protocol question. However, patient care should be directed using patient needs as the primary issue. Thus, in the judgment of the primary care physician, with the guidance of COG recommendations, surveillance should be conducted fol...

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Mednet Member
Radiation Oncology · St. Jude Children's Research Hospital
Answered on

The short answer is that in general, you should follow the evaluation guidelines set out by the protocol that you are using to guide therapy in conjunction with the COG late effect guidelines to ensure appropriate surveillance for radiotherapy related insult. Follow-up guidelines on therapeutic protocols are usually kept consistent to ensure that there is parity for the evaluation of clinical endpoints between arms for comparison. As a result, the data guiding the evaluation calendar for patient...

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