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Patient Pathways: Endometrial Cancer
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== 3. After treatment: follow-up, rehabilitation, and survival == '''Endometrial cancer''' '''Follow-up:''' '''Regular checkups:''' After treatment, patients usually undergo regular gynecological examinations and transvaginal ultrasound to monitor for possible recurrence illness. '''Marker monitoring:''' Blood tests may be done periodically to monitor levels of tumor markers if they were elevated before treatment. '''Radiological examinations:''' CT scans or MRIs may be used to assess the eventual spread of disease or recurrence, especially if there is suspicion of recurrence illness. '''Rehabilitation:''' '''Physical rehabilitation:''' May include exercises to improve strength and flexibility after surgery and radiation therapy. '''Psychological support:''' Counseling or therapy to help cope with stress and anxiety after diagnosis and treatment. '''Survival:''' '''Prognosis:''' Five-year survival for endometrial cancer depends on the stage of the disease, the type of cancer, and response to treatment. In the early stages, survival can be very high (over 80%), while in advanced cases it can be lower. '''Monitoring:''' Long-term monitoring is important for early detection of possible recurrence of the disease or development of secondary carcinomas. '''Cervical cancer''' '''Follow-up:''' '''Regular checkups:''' After treatment, patients undergo regular gynecological examinations, including the PAPA test and the HPV test, to monitor the condition of the cervix and early detect recurrence of the disease. '''Imaging tests:''' If recurrence is suspected, CT scans, MRIs, or PET scans may be used. '''Rehabilitation:''' '''Physical rehabilitation:''' Exercises to improve overall health and functionality after surgery and radiotherapy. '''Rehabilitation of sexual health:''' Counseling on sexual health and coping with changes that may affect sex life. '''Psychological support:''' Support for mental health, including therapy or counseling to help cope with the emotional consequences of illness. '''Survival:''' '''Prognosis:''' Five-year survival for cervical cancer depends on the stage of the disease, with survival around 90% in the early stages and significantly lower in the advanced stages. '''Monitoring:''' Long-term monitoring for early detection of recurrence and assessment of general health. '''Vaginal cancer''' '''Follow-up:''' '''Regular checkups:''' After treatment, regular follow-up with a gynecologist is necessary to detect possible recurrence or metastases. '''Imaging tests:''' If recurrence is suspected, CT scans or MRIs may be used for evaluation. '''Rehabilitation:''' '''Physical rehabilitation:''' Exercises to improve strength and flexibility. '''Rehabilitation of sexual health:''' Counseling on sexual health and techniques for coping with changes that may affect sex life. '''Psychological support:''' Support for mental health, including therapy or counseling to help cope with the emotional consequences of illness. '''Survival:''' '''Prognosis:''' Five-year survival for vaginal cancer depends on the stage and type of cancer. In early stages, it can be around 50-60%, while in advanced stages, it can be lower. '''Monitoring:''' Long-term monitoring for early detection of recurrence or metastases. '''Vulvar cancer''' '''Follow-up:''' '''Regular checkups:''' After treatment, patients usually have regular gynecological examinations to monitor vulvar health and detect any possible recurrence of cancer. '''Imaging tests:''' If recurrence is suspected, CT scans or MRIs may be used. '''Rehabilitation:''' '''Physical rehabilitation:''' Exercises to improve circulation, reduce swelling and restore functionality after surgery. '''Pelvic floor rehabilitation:''' Special exercises to strengthen the pelvic floor muscles can be helpful, especially after radical vulvectomy. '''Psychological support:''' Counseling or therapy to help cope with the emotional and psychological consequences of vulvar cancer. '''Survival:''' '''Prognosis:''' Five-year survival depends on the stage of the disease and the effectiveness of treatment. In the early stages, survival may be higher than 70%, while in advanced stages, it may be significantly lower. '''Monitoring:''' Long-term monitoring for early detection of recurrence or metastases. <span id="palliative-care-if-applicable"></span>
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