Most recent follow up recommendations stage 1a adenocarcinoma - 1290853

debbie57
Posts:6

I had right upper lobectomy for stage pT1a/N0 adenocarcinoma (acinar) in March 2016. Please post the most recent follow up guidelines. Chest xray, low dose CT, CT with contrast, etc.
Thank you

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JimC
Posts: 2753

Hi Debbie,

Welcome to GRACE. In these circumstances, the practice essentially has remained unchanged in recent years. As Dr. Pinder stated:

"I tend to follow the NCCN (National Comprehensive Cancer Network) guidelines for follow-up of lung cancer patients. For the first 2 years, NCCN recommends history, physical and contrast CT chest every 4-6 months (I usually obtain them every six months). After that, annual non-contrast enhanced CTs are recommended by the NCCN. One of the reasons for following early stage lung cancer patients with CT is not only to diagnose a potentially curable recurrence but also to make sure that a new, separate lung cancer has not developed." - http://cancergrace.org/forums/index.php?topic=1721.msg10113#msg10113

In the next post in that thread, Dr. West describes his very similar preferences.

JimC
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