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WorcesterHLvolunteerprofile DOC Cancer  Form

WorcesterHLvolunteerprofile DOC Cancer Form

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uh to be honest if you look at the guidelines uh the follow-up schedule is not really evidence-based so for higher risk tumors uh we know that it's important to follow up because they have a chance of a rapid recurrence of the tumor which should be treated and they even have a quite High chance of some dozen percent to have progression to muscle invasive tumor that's a totally different story for intermediate and lowrisk tumors it might be much less important than we think because the chance that patients are harmed by those tumors is really quite low and for example in some of those patients I do active surveillance so I see the tumor but I don't take it out uh because that's an additional operation these are older patients so surveillance in high risk is very important in low and intermediate risk um there might be a question how important it is let's say originally follow up on cystoscopy and cytology in the last decade cytology already was sk

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