Table 1 High-risk cancer screening protocol recommended by the UVA LFS clinic, based on the modified Toronto Protocol.(1) wbMRI = whole body MRI, US= ultrasound, EGD= esophagogastroduodenoscopy, CBC= complete blood count, LDH= lactate dehydrogenase, 17-OHP= 17-hydroxyprogesterone, DHEAS= dehydroepiandrosterone
UVA LFS Clinic Surveillance Protocol | Toronto Protocol | |
|---|---|---|
Test | Frequency | Frequency |
wbMRI | annually | annually |
Breast MRI (for females) | annually | annually, in addition to annual mammogram |
Brain MRI | annually | annually |
Abdominal US | annually | every 3–4 months |
Pelvic US (for females with reproductive organs) | annually | every 3–4 months |
Colonoscopy/EGD | every 2 years | every 2 years |
Skin exam | annually | annually |
Labs (CBC, LDH, ESR, 17-OHP, total testosterone, DHEAS, androstenedione) | not routinely assessed | every 3–4 months |