We normally see our patients for a routine check-up at 4 to 6 weeks after completing treatment. In an effort to provide you with the most efficient care, routine follow-up with us will generally not be required after this visit. This is only provided that you see your other physicians regularly and contact us if you have any problems or concerns. We suggest that you continue to see your gynecologist, surgeon, medical oncologist, primary care physician and any other specialists involved in your care on a regular basis. You should undergo all normal screening tests and examinations recommended by your primary care physician. The following tests may be ordered by your physicians for surveillance of your cancer:

1. PET/CT, CT scans, or other X-ray studies - These scans may be ordered by your physicians to monitor the status of your cancer. It may take up to 8 to 12 weeks after completion of radiation therapy to see maximal results. Scans may also be ordered at different times by your other physicians based on their treatment schedules as well. We ask that you please forward a copy of all of your future X-ray and scan results to us so we can continue to track your progress.
2. Physical exams and laboratory tests - Physical exams should be performed by your physicians regularly. Blood tests or other laboratory tests may also be ordered by your physicians. Please call us should you be informed of an abnormal exam or test result.
3. PAP smears -- For females who have completed pelvic radiation for cancer of the uterus, cervix or vagina it is very important to undergo regular pelvic examinations and PAP smears by your gynecologist. It is very important that you follow the vaginal dilation exercise instructions you were given in order to make this exam easier for the physician and comfortable for you. Please let us know if you are ever informed of an abnormal exam.

While severe side effects following external radiation treatment are quite uncommon, occasionally they can occur as late as 2 - 3 years AFTER completing treatment. It is very important that you notify your other physicians of your prior radiation treatment BEFORE you undergo any treatments or tests from them. Any vaginal or rectal bleeding should be reported promptly.