Follow-up after cancer treatment ends

What the follow-up plan contains

Ask for a summary of the diagnosis, the operations and the therapies received (type and doses of drugs, irradiated areas). The plan should make clear who coordinates follow-up, when visits take place, which tests are needed and whom to contact about new concerns. The end of chemotherapy or radiotherapy does not always mean the end of all treatment: some therapies, for example hormonal, continue for years depending on the diagnosis; do not stop them without consultation.

Are many tests and scans always needed

No. The type and frequency of tests depend on the tumor and on the relevant guidelines; more frequent checks are usually done in the first years. There is no single scheme of CT, PET or tumor markers that applies to everyone, and excessive testing can cause worry and unnecessary tests. A result outside the range does not necessarily mean recurrence: results are interpreted with symptoms, clinical examination and earlier data. At the clinic, follow-up checks are planned every 6 months to a year, or sooner when the doctor considers it reasonable, in coordination with the plan of the treating center.

What to report

Tell the team about a new lump, pain that persists or increases, unexplained weight loss, bleeding or other persistent changes. Do not wait for the next visit if the problem is getting worse. Also talk about fatigue, numbness, edema (swelling), problems with sleep, memory, sexuality or fertility. These may be late effects of treatment, affect your life and deserve assessment.

Recovery and long-term care

Physical activity is resumed gradually, according to ability and medical advice. Nutrition is adapted to weight, symptoms and recovery needs. Care includes stopping smoking, control of coexisting conditions (hypertension, diabetes) and screening appropriate for age and risk. Anxiety about recurrence is common. Seek support when it interferes with sleep, work or relationships. For patients who received potentially cardiotoxic therapy, cardiac follow-up is also set according to risk.

Care at Tirana Polyclinic: we offer oncology consultation, interpretation of tests and imaging performed outside the clinic and coordination with cardiology and other specialties. Follow-up is carried out in cooperation with the treating center and according to the individual plan.