You need to attend many follow-up appointments with your oncologist (cancer doctor) at Princess Margaret Cancer Centre to check how well your treatment is working and to watch for cancer recurrence or a new cancer. The frequency and length of your follow-up appointments depends on your needs and details of your diagnosis (cancer stage, the treatment you had etc.).
- For example, you may have appointments every 3-4 months in the first 2 years, and then every 6 months for the next 3 years; at this point you may be discharged back to your family doctor for yearly exams (including a pelvic exam)
- Or, after 3 years of follow-up, your doctor may choose to transfer you to the After Cancer Treatment Transition Clinic (ACTT) at Women’s College, where you will continue your follow-up appointments.
See also: After Cancer Treatment Transition Clinic (ACTT) [opens in new window] »
What to expect at your follow-up appointment
In the waiting room:
- You will fill out a screening test (called DART) on a computer to check your overall health, well-being and symptoms. Help is provided if you would like it.
See also: What is DART? »
With your nurse and doctor:
- You will talk with your doctor and nurse about your health history.
- You will have a physical exam around possible sites (parts of your body) where cancer recurrence is most common.
- Based on the stage of your cancer, details about the tumour, the treatment you had, other risk factors, or new symptoms, you may have tests (blood tests, imaging scans etc.). Your doctor and nurse will review your test results to look for signs of recurrence and/or a new cancer.
- You may talk with your doctor and nurse about how you have been feeling. How you are feeling includes physical feelings like pain, fatigue etc. and also emotional and practical concerns like:
- Has anything changed in your relationships with family and friends?
- Are you feeling anxiety, fear of recurrence?
- What are your plans for returning to work?
- Are you having trouble with your finances?
Your doctor and nurse need to know about all aspects of your overall health to help you. Your doctor and nurse can refer you to specialists and social workers to help as well.
