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Clinical follow-up is a neglected field in oncology. Although attention is focused on detecting and treating primary cancers and cancer recurrence, follow-up strategies all too frequently do not receive the same attention. Many of these strategies are based on one's best guess and consensus rather than on objective evidence. This is lamentable, given that in the United States an estimated 1 million to 2 million new cases of cancer will be seen in 1998. Fortunately, the majority will be treated with curative intent and then followed. However, the type of follow-up is inconsistent. For example, factors such as the centers
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