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OBG · Gynaecological oncology: follow-up after treatment
Sample itemWhen do most recurrences of cervical cancer after primary treatment occur?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Within the first 2 years
About 75 percent of cervical cancer recurrences occur within 2 years of treatment, so follow-up is most frequent, every 3 to 6 months, during this time, then less often up to 5 years. Follow-up includes examination, cytology of the vault and imaging if symptoms arise. Symptoms such as pelvic pain, leg swelling and bleeding warrant investigation.
Option by option
A. Only at 5 years
Recurrences are not restricted to year 5.
B. Within the first 2 years (correct)
Correct. Most recurrences occur within 2 years.
C. After 10 years
Late recurrence after 10 years is uncommon.
D. Immediately after surgery in all cases
Early recurrence is not universal.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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