I was reading an article from the Journal of Clinical Oncology where it stated that in Germany, follow-up examinations are recommended to be performed every 3 months during the first 5 years after resection of the primary tumor, and every 6 months during the 6 to the 10 years after surgery; examinations comprise a physical examination and once-yearly lymph node ultrasound, abdomen ultrasound, chest x-ray, and blood examination. This is all for lesions under 1 mm. Just curious why it seems follow-up exams in Germany are much more thorough and involved than in the U.S. At least it has been my experience that here in the U.S. they aren’t doing ultrasounds, etc…. especially yearly.