Dispensary Care (Oncology)

Early detection of relapse or recurrence:
- the risk is usually greatest in the first years after healing;
- recurrence within one year is usually unfavorable, placing the disease in a group of resistant ones;
- some tumors are considered chronic diseases and relapse after a long time is not an exception (breast, malignant lymphogranuloma).
Detection and treatment of late effects of therapy:
- sterility, cataract, nephropathy, mental changes, ...
Detection of possible duplicate tumors:
- it may be a greater susceptibility to carcinogenesis or a treatment-induced tumor (tumor in the irradiated area, after alkylation cytostatics, ...).

Return of the process at the place of disability or in the immediate proximity - local recurrence.
Return in distant places - distant recurrence, metastatic process.
If it is a systemic disease from the beginning, we prefer to use the word relapse, but there is no exact distinction.
It is necessary to distinguish between new relapse and tumor persistence.
In terms of prognosis, it is good to divide the relapse into early (within a year) and late.

References[edit | edit source]

BENEŠ, Jiří. Studijní materiály [online]. ©2012. [cit. 25. 4. 2012]. <http://jirben2.chytrak.cz/materialy/onko_JB.doc>.