Follow-up Care for Ewing Sarcoma

Executive Summary

Follow-up care for Ewing sarcoma refers to the after-treatment protocols conducted by the healthcare team to look after recurrence, manage the side effects, and monitor the patients’ overall health. Both medical and physical examinations are included in the follow-up care of Ewing sarcoma. Watching the recurrence of bone sarcoma is seen in test reports of follow-up care. The symptoms due to the long term effects of radiation therapy are treated. The methods of follow-up treatment are often associated with chemo sessions, radiation therapies, and more. It is essential to have a follow-up care plan for Ewing sarcoma patients. The patient tends to think majorly about Ewing sarcoma symptoms and related them. The doctor will propose checks and testing to check for late effects based on the patient’s Ewing sarcoma treatment symptoms.

Managing the side effects while receiving treatment is a critical follow-up care approach. Personalizing the follow-up care plan is essential for patients with Ewing sarcoma conducted by the medical care team. Effective communication with the doctor regarding the long term effects of all the treatments will be effective in the future.

Follow-up Care for Ewing Sarcoma

Care for a cancer patient does not end with the end of active treatment that was going on. Even after that, the health care team looks after the cancer recurrence, managing the side effects developed due to the treatment and monitoring your overall health. This is called follow up care.

Your follow-up care includes medical tests, physical examination or both ​1​

Doctors usually keep track of your recovery in the months and years ahead. 

Cancer rehabilitation is usually recommended, and this could mean any of a wide range of services, such as physical therapy, career counselling, pain management, nutritional planning, and emotional counselling. 

Watching for recurrence

One of the things to take care of after cancer treatment is recurrence. Cancer recurrence happens when a few cancerous cells remain even after treatment; they again grow until they show up any signs or symptoms or are seen in test reports. 

Scan-xiety is often used for the patient or the family’s stress before the follow-up tests ​2​.

Managing long-term and late side effects

Most people encounter different side effects while receiving treatment. But in some patients, side effects linger beyond the treatment duration. These are the long term side effects. 

Late side effects can develop after months or even after years of treatment. 

Keeping personal health records

Along with your doctor, you should develop a personalized follow-up care plan. Some patients, after the treatment, continue to see their oncologist, while others go back to the care of their family/primary care doctor. This usually depends on various factors, including the type and stage of cancer, side effects, health insurance rules, personal preferences, beliefs and expectations.

References

  1. 1.
    Rastogi S, Kumar A, Gupta H, Khan SA, Bakhshi S. Short-term followup after surgical treatment of Ewing’s sarcoma. IJOO. Published online August 2010:384-389. doi:10.4103/0019-5413.69308
  2. 2.
    Marina NM, Liu Q, Donaldson SS, et al. Longitudinal follow-up of adult survivors of Ewing sarcoma: A report from the Childhood Cancer Survivor Study. Cancer. Published online February 21, 2017:2551-2560. doi:10.1002/cncr.30627