What does health maintenance for endometrial cancer survivors typically include?

• A. Annual mammography appointment
• B. No follow-up after treatment
• C. Routine surveillance with pelvic exams, imaging, biopsies, and maintaining a healthy lifestyle and managing risk factors
• D. Only yearly PET scans

Answer: (C)

Regular follow-up after endometrial cancer treatment aims to detect recurrence early and manage long-term effects. The best health maintenance plan centers on routine surveillance with pelvic exams to monitor for local recurrences, using imaging when symptoms or exam findings raise concern, and performing biopsies to confirm any suspicious lesion. Alongside these monitoring steps, maintaining a healthy lifestyle and managing risk factors—such as weight, diabetes, hypertension, and smoking—helps improve overall health and may reduce recurrence risk. This approach is preferred over infrequent or single-time testing, and routine yearly PET scans are not standard practice due to limited benefit and cost, while no follow-up altogether would miss potential recurrences.