Surveillance programs have been shown to improve survival and frequency of tumor-directed therapy. According to the American Urological Association (AUA), each follow-up visit should include a history and physical examination, laboratory testing, and abdominal and chest imaging. A CT is the imaging modality of choice for the first 5 years following surgery. Follow-up intervals are recommended on the basis of the risk for recurrence.
In the absence of elevated alkaline phosphatase or clinical symptoms, the AUA does not recommend routine bone scans. In addition, molecular markers and PET are not recommended for follow-up and surveillance.
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Cite this: Elwyn C. Cabebe. Fast Five Quiz: Relapsed and Metastatic Renal Cell Carcinoma - Medscape - Jul 08, 2022.