surveillance protocol
Structured follow-up schedule using imaging and laboratory tests to monitor for cancer recurrence or progression.
Full Definition
Surveillance protocols in urologic oncology are evidence-based schedules for monitoring patients after cancer treatment to detect recurrence, progression, or treatment-related complications. These protocols typically specify the timing and type of imaging studies, laboratory tests, and clinical examinations based on cancer type, stage, risk factors, and treatment received. For example, post-prostatectomy surveillance may include PSA testing at regular intervals, while post-nephrectomy protocols often involve periodic CT imaging. Surveillance intensity is usually highest in the first few years after treatment when recurrence risk is greatest, then decreases over time.
Usage
Usage note: Two words, not hyphenated. Distinguish from 'active surveillance,' which refers to monitoring untreated cancer.
In Context
- "The patient will follow the standard surveillance protocol with quarterly PSA measurements." — Discharge planning
- "Adherence to surveillance protocols improves early detection of disease recurrence." — Clinical guideline