Surveillance after Treatment for Cervical Cancer Patients: Survey of Practice among Thai Gynecologic Oncologists
Tiyayon J, MD1, Chanpanitkitchot S, MD1, Hanprasertpong J, MD2, Achariyapota V, MD3, Tangjitgamol S, MD4, Thai Gynecologic Cancer Society (TGCS)5
Affiliation : 1 Department of Obstetrics and Gynecology, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand 2 Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand 3 Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand 4 Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand 5 Office of the Thai Gynecologic Cancer Society, Bangkok, Thailand
Objective : To elucidate the current surveillance practice of Thai gynecologic oncologists for cervical cancer survivors.
Materials and Methods : The present study was a part of a national survey of the Thai Gynecologic Cancer Society on gynecologic
cancer management practice among Thai gynecologic oncologists. The questionnaire included various aspects of gynecologic cancer
management. The responses via an electronic online from August to October, 2019 were collected. Data on surveillance practice for
cervical cancer patients were abstracted.
Results : Of 170 gynecologic oncologists, 71.2% reported more than 10 years of post-treatment surveillance for their cervical
cancer patients. Only 20% of the respondents performed only physical examination whereas the majority also had cervical/vaginal
cytologic testing in every patient (91.8%) or one or more of imaging study to aid in the diagnosis of recurrence (80%). The imaging
study included chest x-ray (71.8%), CT whole abdomen (37.1%), and PET-CT (1.8%). No differences in surveillance practice among
the respondents’ hospital features and duration of practice.
Conclusion : Most Thai gynecologic oncologists used clinical examination with cervical/vaginal cytology for surveillance on cervical
cancer survivors. The majority also requested a chest x-ray and less with a CT scan of the whole abdomen. Working features had
no impact on surveillance practice.
Keywords : Cervical cancer, Surveillance, Cervical cytology, Practice, Survey
