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ESMO Patient Guides COVID19 1000x250

Outpatient visits

High priority

Your outpatient appointment may be a high priority if:

  • You have recently undergone surgery or radiotherapy for endometrial cancer and are experiencing symptoms of complications linked to the treatment you have received
  • You have acute abdominal pain related to your endometrial cancer
  • You are experiencing persistent severe bleeding related to your endometrial cancer
  • You have a confirmed diagnosis of endometrial cancer and have problems passing urine, are experiencing chest pain or shortness of breath, or you have pain and/or swelling in your legs

Medium priority

Your outpatient appointment may be a medium priority if:

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    You have an appointment to investigate postmenopausal bleeding
  • You have recently undergone surgery for endometrial cancer with no complications and are due to receive adjuvant treatment
  • You have had endometrial cancer for some time but have recently developed new problems or symptoms relating to your treatment. It may be possible to discuss these new symptoms with your doctor via telephone in order to reduce your number of hospital visits
  • You have a follow-up appointment as part of a clinical trial

Low priority

Your outpatient appointment may be a low priority if:

  • You have an appointment for fertility-preserving treatment following a diagnosis of a precancerous endometrial condition such as intraepithelial neoplasia (IEN) or atypical hyperplasia (AH)
  • You have a follow-up appointment following completion of initial treatment and your doctor thinks that you are at high risk of relapse. In these cases, your appointment may be postponed for up to six months providing you do not have any symptoms
  • You have a follow-up appointment following treatment of low- or intermediate-risk endometrial cancer. In these cases, your appointment may be conducted via telephone
  • You have been diagnosed with recurrent endometrial cancer but do not have any symptoms and your doctor has advised that it is a slow growing tumour

Diagnosis and imaging

High priority

Your appointment may be a high priority if:

  • You have an imaging appointment to investigate a perforated bowel or peritonitis
  • You have recently undergone surgery for endometrial cancer and are experiencing symptoms or complications linked to the surgery
  • You have an imaging appointment to investigate a problem with your kidneys that your doctor thinks could be linked to your endometrial cancer
  • You have an imaging appointment in order to accurately stage your endometrial cancer

Medium priority

Your appointment may be a medium priority if:

  • You have an imaging appointment because your doctor thinks that your cancer may have returned after your initial treatment
  • You have a follow-up appointment after palliative treatment for advanced or recurrent endometrial cancer. It may be possible to postpone these appointments by up to two months
  • You have a follow-up visit as part of a clinical trial
  • You have a follow-up visit following fertility-sparing treatment for low-risk endometrial cancer

Low priority

Your appointment may be a low priority if:

  • You have a regular follow-up appointment and have not developed any new signs or symptoms. In these cases, it may be possible to relocate some tests to your local healthcare centre and then discuss the results with your doctor by telephone

Surgery

High priority

Your appointment may be a high priority if:

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    You are experiencing excessive bleeding from your uterus or internal bleeding inside the pelvis
  • You have confirmed peritonitis
  • You have recently undergone radiotherapy and are experiencing symptoms or complications linked to treatment such as a bowel perforation
  • You have recently undergone surgery and are experiencing complications linked to the surgery such as bleeding

Medium priority

Your appointment may be a medium priority if:

  • You have newly-diagnosed endometrial cancer and are due to have a hysterectomy

Low priority

Your appointment may be a medium priority if:

  • You are scheduled to undergo surgery as you are at high risk for developing endometrial cancer
  • You are scheduled to undergo surgery for AH/EIN that has not been successfully managed with endocrine therapy
  • You are scheduled to undergo surgery to repair a fistula but do not have any symptoms
  • You are scheduled to undergo surgery to remove a slow-growing, recurrent endometrial tumour

Radiotherapy

High priority

Your appointment may be a high priority if:

  • You are scheduled to receive external beam radiotherapy (EBRT) (with or without chemotherapy) following surgery for a diagnosis of high-risk endometrial cancer
  • You are scheduled to receive radiotherapy as primary treatment for your endometrial cancer and are currently experiencing symptoms linked to the disease

Medium priority

Your appointment may be a medium priority if:

  • You are scheduled to receive brachytherapy and are considered as having intermediate-risk endometrial cancer
  • You are scheduled to receive radiotherapy to destroy cancer cells found in the vagina following surgery to remove your endometrial cancer

Low priority

Your appointment may be a low priority if:

  • You are scheduled to receive radiotherapy for recurrent disease found in the vagina and/or pelvis but currently do not have any symptoms

Systemic treatment

High priority

Your appointment may be a high priority if:

  • shutterstock_362189843
    You are scheduled to undergo first-line chemotherapy for recurrent or metastatic endometrial cancer not sensitive to endocrine treatment, and are experiencing symptoms linked to your disease
  • You are currently receiving treatment as part of a clinical trial
  • You are scheduled to receive chemotherapy (with or without radiotherapy) following surgery for a diagnosis of high-risk endometrial cancer

Medium priority

Your appointment may be a medium priority if:

  • You are scheduled to receive treatment for recurrent or metastatic endometrial cancer that is growing slowly and may be sensitive to endocrine treatment

Low priority

Your appointment may be a low priority if:

  • You are scheduled to receive second-line chemotherapy and cannot receive endocrine therapy

Additional considerations for the management of endometrial cancer

  • If you have a confirmed diagnosis of endometrial cancer and are currently participating in a clinical trial, you should contact the clinical trials unit to better understand how the frequency of your treatment and follow-up appointments might be changed

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