Question

Describe followup after treatment of vulvar cancer.

a) No need for regular followup
b) Annual Pap smears
c) Frequent pelvic exams with biopsy of any suspicious lesions
d) Regular imaging studies for surveillance

Answer 1

After treatment of vulvar cancer, follow-up typically includes annual Pap smears, frequent pelvic exams with biopsy of any suspicious lesions, and regular imaging studies for surveillance.

Step-by-step explanation:

After the treatment of vulvar cancer, follow-up is necessary to monitor for any recurrence or new lesions. The specific follow-up plan may vary depending on the individual's condition and the type of treatment received. However, some common components of follow-up include:

1. Annual Pap smears: Pap smears are a screening test used to detect abnormal cervical cells. Even though vulvar cancer is different from cervical cancer, both can be caused by human papillomavirus (HPV), and there is a risk of developing cervical cancer. Therefore, annual Pap smears are recommended.
2. Frequent pelvic exams with biopsy of any suspicious lesions: Regular pelvic examinations are performed to check for any abnormal changes in the vulva. If any suspicious lesions are found, a biopsy may be performed to determine if the cancer has returned or if there are any new lesions.
3. Regular imaging studies for surveillance: Imaging studies such as CT scans or MRIs may be done periodically to assess the response to treatment and monitor for any signs of recurrence or spread of the cancer.