ROJoson PEP Talk: Cancer Surveillance After Definitive Treatment

February 10, 2024
1400H - 1500H
Via Zoom
Empowerment
objective - for laypeople
CANCER to have an essential
SURVEILLANCE understanding on
AFTER CANCER SURVEILLANCE
DEFINITIVE AFTER DEFINITIVE
TREATMENT TREATMENT as part of
their health
management.
February 10, 2024
1400H - 1500H
Via Zoom
Welcome all!
MUTE yourself but always

Empowerment show your video picture.
objective - for laypeople Sign in your name, FB

CANCER to have an essential account, or email address in
SURVEILLANCE understanding on the Chat Box! Include names
of companions attending.
DEFINITIVE AFTER DEFINITIVE Use the Chat Box to ask
TREATMENT TREATMENT as part of questions and make
comments while the PEP TALK
their health is on.
management.
There will be group pictures
at start and end of PEP TALK –
show your face in video.
Reminder after the PEP
Talk:
Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Medical Consultation
either Face-to-Face or
Telemedical.
ROJOSON’S REQUEST:
Empowerment FEEDBACK TO THIS
objective - for laypeople PEP TALK!
SURVEILLANCE understanding on Pls. type in your
AFTER CANCER SURVEILLANCE feedback in the chat
DEFINITIVE AFTER DEFINITIVE box during the open
TREATMENT TREATMENT as part of forum and before we
their health adjourn!
management.
Thank you!
LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for laypeople START PEP TALK
CANCER to have an essential PROPER IN 2
SURVEILLANCE understanding on MINUTES!
DEFINITIVE AFTER DEFINITIVE Pls. turn on your
TREATMENT TREATMENT as part of video!
their health Show your face!
management.
ROJoson PEP Talk
Empowerment
I have a Patient
Empowerment
Program in which I
like to empower the
lay people or
patients to take
their health
control in the
management.
management of
their health.
I started the PEP Talk
on May 15, 2021
during the COVID19
Pandemic. There are
3 courses in the PEP
Talk. I completed the
Core Course on
October 9, 2021.
From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer depending on
our enthusiasm,
discipline and
perseverance.
My PEP TALK today is
Empowerment entitled:
objective - for laypeople CANCER
CANCER to have an essential SURVEILLANCE AFTER
SURVEILLANCE understanding on DEFINITIVE
TREATMENT
their health
management.
CANCER Contents Disclaimer:
SURVEILLANCE • What is cancer surveillance after definitive
AFTER treatment? ROJoson PEP Talk
DEFINITIVE • How is cancer surveillance after definitive contains ROJoson’s
TREATMENT treatment being done? Thoughts,
• Why is cancer surveillance after definitive Perceptions,
treatment a must do and how long? Opinions and
• What are approaches and guides in cancer Recommendations
surveillance after definitive treatment? (TPORs) culled from
experiences of
ROJoson and other
professionals.
CANCER What is cancer surveillance after definitive
SURVEILLANCE treatment?
AFTER
DEFINITIVE Surveillance – close watch, close observation,
TREATMENT close monitoring (generic sense)
Surveillance in medicine – close watch,

observation and monitoring of any event related
to MEDICINE.
Cancer surveillance – close watch, observation

and monitoring of any event related to CANCER.
AFTER
DEFINITIVE Cancer surveillance on a patient – close watch,
TREATMENT observation, close monitoring in a cancer patient
DURING treatment and AFTER treatment for the
following:
• response to treatment
• Behavior / course without active cancer
treatment procedure
• remission
• recurrence
AFTER
DEFINITIVE Cancer surveillance on a cancer patient – usually
TREATMENT used in the context of close and continuous
watch, observation and monitoring for recurrence
after a definitive cancer treatment.
AFTER
DEFINITIVE CANCER DEFINITIVE TREATMENT - primary The phrase “Cancer
TREATMENT treatment chosen to provide high chance for cure Surveillance” is
or with the intent to cure, specifically done in usually used in the
which all clinically evident cancers are completely setting of a cancer
resolved, annihilated, or removed. definitive treatment
and not in cancer
Treatment not done for complete resolution of all palliative treatment.
clinically evident cancers is NOT cancer definitive
treatment. It is usually called CANCER
PALLIATIVE TREATMENT.
AFTER
DEFINITIVE CANCER SURVEILLANCE after DEFINITIVE
TREATMENT TREATMENT
= close watch, observation and monitoring for
CANCER RECURRENCE AFTER DEFINITIVE
TREATMENT.
CANCER Why is cancer surveillance after definitive treatment a must do and how
SURVEILLANCE long?
AFTER
DEFINITIVE There is always a possibility of CANCER RECURRENCE even after a
TREATMENT definitive treatment.
NO doctor will guarantee CURE – that the cancer will not recur.
The cancer can occur at anytime and as long as the patient is alive.
The objective of cancer surveillance is to catch a cancer recurrence early
enough, if it recurs, and to remedy it as soon as possible and if still,
possible (best effort).
Thus, cancer surveillance after definitive treatment is a must do and it is
a life-time affair.
CANCER How is cancer surveillance after definitive
SURVEILLANCE treatment being done? CANCER
AFTER SURVEILLANCE after
DEFINITIVE This can be done with close (continuous and DEFINITIVE
TREATMENT regular) watch, observation, and monitoring of: TREATMENT
1. Symptoms of patients (what they felt and = close watch,
observed) observation and
2. Signs from physical exams of physicians, monitoring for
particularly cancer specialists CANCER
3. Laboratory diagnostic tests or procedures RECURRENCE AFTER
DEFINITIVE
Question: All 3? Just 1 and 2? Just 3? Just 2? etc. TREATMENT.
------------------APPROACHES
CANCER What are approaches and guides in cancer
SURVEILLANCE surveillance after definitive treatment?
AFTER
DEFINITIVE
TREATMENT
What are approaches and guides in cancer
CANCER
surveillance after definitive treatment? CANCER
SURVEILLANCE
1. Symptoms of patients (what they felt and SURVEILLANCE after
AFTER
observed) DEFINITIVE
DEFINITIVE
2. Signs from physical exams of physicians, TREATMENT
TREATMENT
particularly cancer specialists = close watch,
3. Laboratory diagnostic tests or procedures observation and
monitoring for
• Minimalist approach – No. 1 and No. 2 first and
CANCER
then do No. 3 only as indicated RECURRENCE AFTER
• Maximalist approach – No.1, No. 2, and No. 3
DEFINITIVE
all at once in one sitting. TREATMENT.
• Ritualistic approach – No. 3 only
CANCER
SURVEILLANCE
AFTER
observed) ROJoson’s TPORs: DEFINITIVE
DEFINITIVE
TREATMENT Minimalist
2. Signs approach
from physical exams of – physicians,
No. 1 and TREATMENT
particularly
No. 2 andcancer
thenspecialists
do No. 3 only as = close watch,
3. Laboratory diagnostic tests or procedures
indicated. observation and
monitoring for
CANCER
DEFINITIVE
CANCER
SURVEILLANCE
ROJoson’s TPORs: SURVEILLANCE after
AFTER
1st MUST DO: DEFINITIVE
DEFINITIVE
1. To emphasize to laypeople and patients on TREATMENT
TREATMENT
using SYMPTOMS (what they felt and = close watch,
observed) as the first step in the cancer observation and
surveillance and to not rely solely on monitoring for
physician’s examination and diagnostic tests. CANCER
2. To educate patients on what ALERT RECURRENCE AFTER
SYMPTOMS OF RECURRENCE for their DEFINITIVE
particular cancer to watch, observe and TREATMENT.
monitor.
CANCER Example in breast cancer patients, feel and observe for
surveillance after definitive treatment?
SURVEILLANCE the following common ALERT SYMPTOMS of
ROJoson’s TPORs:
AFTER RECURRENCE:
1 • MUST DO:
st
DEFINITIVE A mass on the operated side / site of the breast or
1. To emphasize to laypeople and patients on
TREATMENT on the other breast – possible recurrence
• using SYMPTOMS (what they felt and
Protracted HEADACHE – possible recurrence or
observed) as the first step in the cancer
spread to BRAIN
• surveillance and to not rely solely on
Protracted COUGH – possible recurrence or spread
physician’s examination and diagnostic tests.
to LUNG
2.• To educate patients on what ALERT
Protracted BONE PAIN – possible recurrence or
SYMPTOMS OF RECURRENCE for their
spread to BONE
• particular cancer to watch, observe and
Protracted ABDOMINAL PAIN, RIGH UPPER SIDE /
monitor.
JAUNDICE – possible recurrence or spread to LIVER
CANCER Example in thyroid cancer patients, feel and
SURVEILLANCE observe for the following common ALERT
ROJoson’s TPORs:
AFTER SYMPTOMS of RECURRENCE:
1 • MUST DO:
st
DEFINITIVE A mass on the operated side / site or on
1. To emphasize to laypeople and patients on
TREATMENT other parts of the neck – possible
using SYMPTOMS (what they felt and
recurrence
• observed) as the first step in the cancer
Protracted COUGH – possible recurrence or
surveillance and to not rely solely on
spread to LUNG
• physician’s examination and diagnostic tests.
Protracted BONE PAIN – possible
2. To educate patients on what ALERT
recurrence or spread to BONE
• SYMPTOMS OF RECURRENCE for their
Protracted HEADACHE – possible
particular cancer to watch, observe and
recurrence or spread to BRAIN
monitor.
CANCER
SURVEILLANCE
ROJoson’s TPORs:
AFTER
1stExample
MUST DO: in abdominal cancer patients, feel
DEFINITIVE
1.andTo observe
emphasizeforto
thelaypeople
followingandcommon ALERT
patients on
TREATMENT
SYMPTOMS of RECURRENCE:
using SYMPTOMS (what they felt and
• observed)
Protractedaspain
the on
firstthe abdomen
step – possible
in the cancer
recurrence and to not rely solely on
surveillance
• physician’s
A mass on examination
the operatedand sidediagnostic
/ site or on
tests.
2. To other partspatients
educate of the abdomen – possible
on what ALERT
recurrence OF RECURRENCE for their
SYMPTOMS
• particular
Protracted COUGH
cancer – possible
to watch, recurrence
observe and or
spread to LUNG
monitor.
CANCER
surveillance after definitive
A lot treatment?
of cancer patients are not doing CANCER
SURVEILLANCE
ROJoson’s TPORs: this self-monitoring regularly SURVEILLANCE after
AFTER
1 MUST DO: (monthly at least, and for life) and
st
DEFINITIVE
DEFINITIVE
1. To emphasize to laypeople
have and patients
not been taught on
by physicians. TREATMENT
TREATMENT
using SYMPTOMS (what they felt and = close watch,
observed) as the first step in the cancer observation and
surveillance and to not rely solely on monitoring for
physician’s examination and diagnostic tests. CANCER
2. To educate patients on what ALERT RECURRENCE AFTER
SYMPTOMS OF RECURRENCE for their DEFINITIVE
particular cancer to watch, observe and TREATMENT.
monitor.
CANCER
SURVEILLANCE
AFTER
2nd MUST DO: DEFINITIVE
DEFINITIVE
• To see and consult a physician (specially a
TREATMENT TREATMENT
cancer specialist) for regular assessment and = close watch,
evaluation (check-up) at planned intervals (as observation and
recommended by the cancer specialist). monitoring for
CANCER
• Similar to the recommendation to see a dentist
RECURRENCE AFTER
at planned intervals (every 6 or 12 months) for DEFINITIVE
dental check and oral health maintenance. TREATMENT.
CANCER
SURVEILLANCE
AFTER
DEFINITIVE
TREATMENT TREATMENT
In the check-up, the cancer patients should tell CANCER
•the
Similar
cancertospecialist
the recommendation to see
of any symptoms a dentist
felt and RECURRENCE AFTER
at planned
observed thatintervals (every 6 orfor
may be suspicious 12 cancer
months) for DEFINITIVE
dental check
recurrence. and oral
IF NONE, health
SAY NONE.maintenance. TREATMENT.
CANCER
SURVEILLANCE
AFTER
DEFINITIVE
TREATMENT TREATMENT
In the check-up, the minimum examination to CANCER
•beSimilar
done byto the
the cancer
recommendation
specialist isto see a dentist
a physical RECURRENCE AFTER
at planned or
examination intervals
clinical(every 6 or 12(just
examination months) for
based DEFINITIVE
ondental check
interview and
and oral
sign health
data). maintenance.
Laboratory TREATMENT.
diagnostic tests are done only when indicated.
CANCER
surveillance afterA lot of cancer
definitive patients are not doing
treatment?
SURVEILLANCE CANCER
ROJoson’s TPORs: these regular check-ups with their
2 MUST DO:
nd cancer specialists at planned
DEFINITIVE DEFINITIVE
• To see and consult a physician intervals.
(specially a
TREATMENT TREATMENT
Planned intervals – to be recommended
evaluation (check-up) at planned intervals (asby the
cancer specialists – based on the degree of risk of observation and
recurrence of a particular cancer at time of
CANCER
• definitive treatment and after so many years in
Similar to the recommendation to see a dentist RECURRENCE AFTER
remission.
at plannedThe higher the
intervals risk6–orthe
(every 12more frequent
months) for
the check-ups. The longer the years in remission – DEFINITIVE
the less frequent the check-ups. However, still
lifetime check-ups as cancer can always recur.
CANCER Example in breast cancer patients, minimum
SURVEILLANCE physician’s physical exam for assessment and
AFTER evaluation for possible recurrence include
2 MUST DO:
nd
DEFINITIVE
DEFINITIVE inspection and palpation of the following
TREATMENT areas: TREATMENT
• cancer specialist) for regular assessment and
Both breasts (or chest area/s where the total = close watch,
mastectomy was done)
• recommended
Both armpits
by the cancer specialist). monitoring for
• Both neck especially above the collarbone CANCER
• Right upper abdomen (to palpate the liver RECURRENCE AFTER
for possible mass recurrence)
CANCER Example in breast cancer patients, planned
SURVEILLANCE intervals for check-up after definitive treatment
AFTER may have the following guidelines:
2 • MUST DO:
nd
DEFINITIVE
DEFINITIVE Stage III more frequent than Stage I and II
TREATMENT breast cancers. TREATMENT
1st year – every 2-3 months after the wounds = close watch,
have healed
• recommended by the cancer specialist).
2 to 5 years – every 6 months
nd th monitoring for
• > 5 years – every 12 months CANCER
• >10 years – every 24 months RECURRENCE AFTER
CANCER Example in thyroid cancer patients, minimum
SURVEILLANCE physician’s physical exam for assessment and
AFTER evaluation for possible recurrence include
2 MUST DO:
nd
DEFINITIVE
DEFINITIVE inspection and palpation of the following
TREATMENT areas: TREATMENT
Central neck where the thyroid gland is = close watch,
located
• recommended by the cancer specialist).
Lateral neck for possible lymph node monitoring for
recurrence CANCER
RECURRENCE AFTER
CANCER Example in thyroid cancer patients, planned
SURVEILLANCE intervals for check-up after definitive treatment
AFTER may have the following guidelines:
2 • MUST DO:
nd
DEFINITIVE
DEFINITIVE More frequent in more advanced stage of
TREATMENT thyroid cancer – more frequent in those with TREATMENT
lymph node metastasis
• evaluation (check-up) at planned intervals (as
1st year – every 2-3 months after the wounds observation and
have healed
• 2nd to 5th years – every 6 months CANCER
• > 5 years – every 12 months RECURRENCE AFTER
• at>10
planned intervals (every 6 or 12 months) for
years – every 24 months DEFINITIVE
CANCER
surveillance after definitive treatment? Battery of Laboratory
SURVEILLANCE
ROJoson’s TPORs: Tests
AFTER
3rd MUST DO: (THING TO DO AFTER PHYSICAL for Cancer - Meaning
DEFINITIVE
AND CLINICAL EXAMINATION BY PHYSICIAN)
TREATMENT
Multiple tests being
Do laboratory diagnostic tests only when ordered or done to
indicated after the physical and clinical check for cancer with
examination (selective only, not battery of tests). the intent to be
comprehensive and
ONLY when there is a suspicious for a recurrence to apply the law of
and the physician needs to be more definite in elimination in the
the diagnosis. interpretation
CANCER
surveillance afterAdefinitive
lot of cancer patients and a lot of
treatment? Battery of Laboratory
SURVEILLANCE
ROJoson’s TPORs: physicians are not doing this selective
AFTER Tests
3 MUST DO: (THING
rd approach in diagnostic
TO DO AFTER PHYSICALtesting.
DEFINITIVE for Cancer - Meaning
They are being
AND CLINICAL EXAMINATION BY PHYSICIAN) ritualistic and
TREATMENT
maximalist.
Multiple tests being
Do laboratory diagnostic tests only when ordered or done to
indicated after the physical and clinical check for cancer with
examination (selective only, not battery of tests). the intent to be
comprehensive and
ONLY when there is a suspicious for a recurrence to apply the law of
and the physician needs to be more definite in elimination in the
the diagnosis. interpretation
CANCER Example in breast cancer patients, a battery of tests
treatment?
SURVEILLANCE would usually include the following ordered by the
AFTER physicians:
3 • MUST DO: (THING
DEFINITIVE CT scan of the chest (at times chest xray) – to check
They are being
AND CLINICAL EXAMINATION ritualistic and
BY PHYSICIAN)
TREATMENT recurrence or spread to the lungs
maximalist.
• CT scan of the brain to check recurrence or spread to
Do laboratory diagnostic tests only when
brain
indicated
• Bone after the physical and clinical
scan – to check recurrence or spread to bone
examination
• Ultrasound(selective only, not battery of tests).
of the abdomen (at times CT scan) – to
check recurrence or spread to the liver.
ONLY when there is a suspicious for a recurrence
• Blood chemistry to check recurrence or spread to liver
and the physician needs to be more definite in
• Others
the diagnosis.
CANCER Example in breast cancer patients, a selective approach
treatment?
SURVEILLANCE on laboratory diagnostic tests is usually done this way:
ROJoson’s TPORs:physicians are not doing this selective
AFTER •rd On clinical / physical examination, because of
3 MUST DO: (THING approach in diagnostic
DEFINITIVE protracted headache, a recurrence or spread to the
They are being
BY PHYSICIAN)
TREATMENT brain is suspected. Selective test would include a CT
maximalist.
scan of the brain.
indicated
• IN THISafter the physical and clinical
SCENARIO, the battery test is not needed if
examination (selective only, not battery of tests).
there is NO NEED to determine the extent of
recurrence in other parts of the body (as there are no
symptoms elsewhere) and management will be the
same regardless of findings in other tests.
the diagnosis.
CANCER Example in breast cancer patients, a selective approach
treatment?
SURVEILLANCE on laboratory diagnostic test is usually done this way:
AFTER •rd On clinical / physical examination, because of
DEFINITIVE protracted cough, a recurrence or spread to the lung is
They are being
BY PHYSICIAN)
TREATMENT suspected. Selective tests would include a chest xray
maximalist.
initially and then CT scan of the chest as indicated.
indicated
• IN THIS after the physical and clinical
recurrence in other parts of the body (as there are no
the diagnosis.
CANCER Example in thyroid cancer patients, a battery of
treatment?
SURVEILLANCE tests would usually include the following ordered
AFTER by the physicians:
3 • MUST DO: (THING
DEFINITIVE Ultrasound of the thyroid and neck at times CT
They are being
BY PHYSICIAN)
TREATMENT scan of the neck
maximalist.
• Thyroglobulin
Do• laboratory diagnostic tests only when
Total body scan
indicated
• Thyroidafter the physical and clinical
function tests (FT4, FT3, TSH)
examination
• Others (selective only, not battery of tests).
the diagnosis.
CANCER Example in thyroid cancer patients, a selective approach
treatment?
SURVEILLANCE on laboratory diagnostic tests is usually done this way:
AFTER •rd On clinical / physical examination, because of a
DEFINITIVE palpable nodule on the thyroid bed, a local recurrence
They are being
BY PHYSICIAN)
TREATMENT is suspected. Selective tests would include an
maximalist.
ultrasound of the thyroid and neck.
indicated
• IN THISafter the physical and clinical
recurrence in other parts of the body as there are no
the diagnosis.
What are approaches and guides in cancer surveillance after definitive
CANCER
treatment?
SURVEILLANCE
ROJoson’s TPORs:
AFTER
DEFINITIVE
There are clinical studies that compare the use of battery of tests vs
TREATMENT
selective test approaches in breast cancer surveillance.
Results of this trial support the view that a protocol of frequent

laboratory tests and roentgenography after primary treatment for
breast cancer does not improve survival or influence health-related
quality of life. Routine use of these tests should be discouraged.
(JAMA. 1994;271:1587-1592)
CANCER
treatment?
SURVEILLANCE
ROJoson’s TPORs:
AFTER
DEFINITIVE
TREATMENT
selective test approaches in breast cancer surveillance.
Conclusions. —Periodic chest roentgenography and bone scan allow

earlier detection of distant metastases, but anticipated diagnosis
appears to be the only effect of intensive follow-up, and no impact on
prognosis is evident after 5 years. Periodic intensive follow-up with
chest roentgenography and bone scan should not be recommended as
a routine policy.(JAMA. 1994;271:1593-1597)
CANCER
treatment?
SURVEILLANCE
ROJoson’s TPORs:
AFTER
DEFINITIVE
TREATMENT
selective test approaches in cancer surveillance.
CANCER
treatment?
SURVEILLANCE
ROJoson’s TPORs:
AFTER
DEFINITIVE
There are clinical
LESSstudies
EXPENSEthat compare the use of battery of tests vs
TREATMENT
selective test approaches in cancer surveillance.
BIG EXPENSE
CANCER
SURVEILLANCE
AFTER
DEFINITIVE
TREATMENT Minimalist
2. Signs approach
from physical exams of – physicians,
No. 1 and TREATMENT
particularly
No. 2 andcancer
thenspecialists
do No. 3 only as = close watch,
3. Laboratory diagnostic tests or procedures
indicated. observation and
monitoring for
CANCER
DEFINITIVE
CANCER
SURVEILLANCE
AFTER
DEFINITIVE
TREATMENT
2. Signs fromMinimalist approach:
physical exams of physicians, TREATMENT
particularly cancer specialists
symptom-sign based surveillance = close watch,
3. Laboratory diagnostic
and selective tests or procedures
diagnostic tests as observation and
indicated monitoring for
• Minimalist approach – No. 1 and No. 2 first and CANCER
DEFINITIVE
CANCER
SURVEILLANCE
ROJoson TPORs DEFINITIVE
DEFINITIVE
TREATMENT TREATMENT
1. Symptoms of patients (what they felt and = close watch,
observed) (regular, monthly at least, for lfe) observation and
2. Signs from physical exams of physicians, monitoring for
particularly cancer specialists (regular at CANCER
planned intervals for life) RECURRENCE AFTER
3. Laboratory diagnostic tests or procedures (as DEFINITIVE
indicated – selective / not battery of tests) TREATMENT.
Contents
CANCER Summary
SURVEILLANCE • What is cancer surveillance after definitive
treatment? Take Away
AFTER
DEFINITIVE • How is cancer surveillance after definitive
TREATMENT treatment being done?
• Why is cancer surveillance after definitive
treatment a must do and how long?
• What are approaches and guides in cancer
CANCER Be always in touch with reliable medical
Take Away in
SURVEILLANCE information on CANCER SURVEILLANCE AFTER
DEFINITIVE TREATMENT. relation to
AFTER
Patient
DEFINITIVE
TREATMENT Knowledge is power; it gives power. Empowerment
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan to gain greater control over
decisions / make better decisions on
management of CANCER SURVEILLANCE
AFTER DEFINITIVE TREATMENT as part of
your health management.
This ends my PEP
Empowerment
TALK today on:
CANCER to have an essential CANCER
SURVEILLANCE understanding on SURVEILLANCE AFTER
AFTER CANCER SURVEILLANCE DEFINITIVE
DEFINITIVE AFTER DEFINITIVE TREATMENT
their health
management.
Reminder after the PEP
Talk:
Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Medical Consultation
either Face-to-Face or
Telemedical.
ROJOSON’S REQUEST:
Empowerment FEEDBACK TO THIS
objective - for laypeople PEP TALK!
SURVEILLANCE understanding on Pls. type in your
AFTER CANCER SURVEILLANCE feedback in the chat
DEFINITIVE AFTER DEFINITIVE box during the open
TREATMENT TREATMENT as part of forum and before we
their health adjourn!
management.
Thank you!
LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for laypeople START Q&A AND
CANCER to have an essential INTERACTIONS!
AFTER CANCER SURVEILLANCE Pls. turn on your
DEFINITIVE AFTER DEFINITIVE video!
TREATMENT TREATMENT as part of Show your face!
their health
management.

ROJoson PEP Talk: Cancer Surveillance After Definitive Treatment

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February 10, 2024

MUTE yourself but always

objective - for laypeople Sign in your name, FB

Take the Online Learning

Link is in Chat Box.

Surveillance in medicine – close watch,

Cancer surveillance – close watch, observation

Results of this trial support the view that a protocol of frequent

Conclusions. —Periodic chest roentgenography and bone scan allow

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