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Management of Localized and Locally Advanced Disease
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=== Follow-up after ablation === * '''Patients who have undergone ablation should be followed with contrast-enhanced imaging (MRI or CT)''' to assess for residual enhancing disease and post-procedure complications. ** '''Ultrasound should not be used for post-ablation surveillance''' * '''Schedule''' ** '''2021 AUA''' *** '''If biopsy confirmed malignancy or was non-diagnostic, pre- and post-contrast cross-sectional abdominal imaging should be done within 6 months after TA.''' *** '''Subsequent follow-up should be according to the intermediate-risk recommendations (see Table 1 from original guidelines)''' ** '''2018 CUA''' *** '''Surveillance is similar to low-risk except for abdominal imaging (CT or MRI) at 3, 6, and 12 months, then annually thereafter for up to 5 years.''' **** '''CXR is recommended annually during follow-up''' *** If pre-treatment biopsy demonstrated oncocytoma and imaging post-ablation shows treatment success, routine imaging beyond one year is not recommended
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