Follow Up after Ovarian Cancer Treatment
- History and Physical Examination by Surgeon every 1-4 months (Average 3 monthly)
- CA -125 &/or HE4 on each visit.
- S.LDH, Beta hCG, AFP on each visit in Germ cell tumors of ovary.
- S. Inhibin on each visit in sex cord stromal tumors of ovary.
- Routine Investigation as advised
- Lifestyle Changes, Physical activity & Exercise assessment
- Comorbidity Assessment
- Ultrasound abdomen or imaging as advised by oncologist.
- Other cancer screening and genetic counselling as recommendations
- History and Physical Examination by Surgeon every 6 months or shorter interval in high risk and advance cases
- CA -125 &/or HE4 on each visit.
- S.LDH, Beta hCG, AFP on each visit in Germ cell tumors of ovary.
- S. Inhibin on each visit in sex cord stromal tumors of ovary.
- Routine Investigation as advised
- Lifestyle changes advise
- Comorbidity Assessment
- Ultrasound abdomen or imaging as advised.
- Other cancer screening as recommendations
- History and Physical Examination by Surgeon once in a year
- CA -125 &/or HE4 on each visit.
- S.LDH, Beta hCG, AFP on each visit in Germ cell tumors of ovary.
- S. Inhibin on each visit in sex cord stromal tumors of ovary.
- Routine Investigation as advised
- Lifestyle Changes and Physical Exercise Advise
- Comorbidity Assessment
- Ultrasound Abdomen or Imaging as advised
- Other cancer screening as recommendations
Examination
Blood Investigations
Imaging
PET CECT
Examination
Yes, Always
Blood Investigations
CA 125/ HE 4/ other tumor markers if initially elevated.
Imaging
- Ultrasound Abdomen: On every visit as clinically indicated.
- No routine imaging advised.
PET CECT
PET CECT: Not advised routinely, only as advised by oncologist.
- Other imaging like CT scan, MRI only when advised by oncologist.
