Treatment FAQ

after cancer treatment for right breast cancer how should follow up procede

by Miss Lura Wisoky Published 2 years ago Updated 2 years ago

You should see your doctors regularly for the first few years after breast cancer treatment. Regular exams and mammograms are an important part of follow-up care after treatment. Your doctor, oncologist or surgeon can help plan your follow-up care.

Your follow-up care may include regular physical examinations, medical tests, or both. Doctors want to keep track of your recovery in the months and years ahead. Annual mammography and physical exams are the only recommended surveillance strategy in people in good health who have been treated for curable breast cancer.

Full Answer

How to follow up care after breast cancer treatment?

Follow up Care After Breast Cancer Treatment 1 Typical follow-up schedules. Doctor visits: At first, your follow-up doctor visits will probably be... 2 Ask your doctor for a survivorship care plan. 3 If the cancer comes back. If cancer does return, your treatment options will depend on...

Why does breast cancer come back after treatment?

Treatment for early stage or locally advanced breast cancer is given to eradicate as many cancer cells in the body as possible. However, cancer recurs because small areas of cancer cells that don't respond to treatment may remain undetected in the body.

How do I follow up breast cancer screening after age 70?

After the age of 70, you can arrange your own regular mammograms by contacting your local screening service. You are not routinely offered other tests to follow up breast cancer unless you have symptoms or feeling unwell. Some women may have a bone density scan to check their bone strength.

Who will I be followed up by after cancer treatment?

Many people are followed up at the hospital and have regular appointments with their surgeon or oncologist. Some people may also be followed up by their GP or have a combination of hospital and GP appointments.

What follows after breast cancer treatment?

Typical follow-up schedules After 5 years, they are typically done about once a year. Mammograms: If you had breast-conserving surgery (lumpectomy or partial mastectomy), you will probably have a mammogram about 6 to 12 months after surgery and radiation are completed, and then at least every year after that.

How often follow up after breast cancer?

Typically, you should see your doctors every 3 months for the first 2 years after treatment ends, every 6 months during years 3 through 5, and then annually for the rest of your life. Your personal schedule will depend on your diagnosis. Get regular mammograms.

How long should you see an oncologist after breast cancer?

Once your initial breast cancer treatment ends, you will need to see your oncologist every three or four months during the first two or three years. Then, you can visit your doctor once or twice a year. After that, these visits will depend on the type of cancer you have had.

How often should you see your oncologist after treatment?

In general, people return to the doctor for follow-up appointments every 3 to 4 months during the first 2 to 3 years after treatment, and once or twice a year after that. At these visits, you may have a physical exam along with blood tests and other necessary tests and procedures.

What are the signs of breast cancer returning?

What are the symptoms of breast cancer recurrence?Breast lump or bumps on or under the chest.Nipple changes, such as flattening or nipple discharge.Swollen skin or skin that pulls near the lumpectomy site.Thickening on or near the surgical scar.Unusually firm breast tissue.

How often should I get a mammogram if I had breast cancer?

Women 45 to 54 should get mammograms every year. Women 55 and older can switch to a mammogram every other year, or they can choose to continue yearly mammograms.

What happens after cancer treatment is over?

When treatment ends, you may expect life to return to the way it was before you were diagnosed with cancer. But it can take time to recover. You may have permanent scars on your body, or you may not be able to do some things you once did easily. Or you may even have emotional scars from going through so much.

Can breast cancer be cured completely?

There is no “natural” cure for breast cancer. Medical treatments are necessary to remove, shrink, or slow the growth of tumors. That said, you may use certain complementary therapies and lifestyle changes alongside standard medical treatments to help: control symptoms of breast cancer.

How long does it take to get back to normal after breast cancer?

Two of the most common questions women ask after breast cancer treatment ends is typically, “when will my life be normal again?” and “am I cured?” If a woman has undergone chemotherapy it is not uncommon for it to take upwards of one year before she is feeling back to normal with improved overall endurance and strength ...

What is a follow up plan?

Listen to pronunciation. (FAH-loh-up kayr plan) A detailed plan given to a patient after treatment ends, that contains a summary of the patient's treatment, along with recommendations for follow-up care.

What should I ask my oncologist after treatment?

Questions to Ask Your Doctor When You Have Finished TreatmentHow long will it take for me to get better and feel more like myself?What kind of care should I expect after my treatment?What long-term health issues can I expect as a result of my cancer and its treatment?What is the chance that my cancer will return?More items...•

When will oncologist stop treatment?

If you've undergone three or more chemotherapy treatments for your cancer and the tumors continue to grow or spread, it may be time for you to consider stopping chemotherapy.

What to do after breast cancer treatment?

Once your breast cancer treatment has ended, you’ll need to keep in touch with your cancer doctor and surgeon. Schedule regular appointments with them. Between medical visits, watch for any changes in your body.

How long after breast cancer treatment do you need a mammogram?

If you had a total mastectomy, you only need one of the other breast. You’ll likely need a mammogram within 6 12 months after finishing your breast cancer treatment and at least annually after that. Routine chest X-rays and blood tests in women who have no symptoms of cancer aren’t always reliable.

What are the changes in breasts?

Pay attention to any changes in your breast, including: Skin rashes, redness, or swelling. New lumps in your breast or chest. Also pay attention to: Bone pain, back pain, or tenderness that doesn't go away. Shortness of breath or chest pain. Persistent belly pain.

Do you need a blood test if you have cancer?

Routine chest X-rays and blood tests in women who have no symptoms of cancer aren’t always reliable. If you had chemotherapy, you’ll need regular blood tests to make sure that your body has recovered from it.

What is a care plan for early breast cancer?

The National Institute for Health and Care Excellence (NICE) guidelines say that everyone who has had treatment for early breast cancer should have a copy of a written care plan. The care plan has information about: tests. signs and symptoms to look out for and who to speak to if you notice any changes.

When do you see your doctor for breast cancer?

During your treatment for breast cancer, you see your doctors and nurses regularly. This is usually before each chemotherapy treatment or weekly during radiotherapy. Coming to the end of treatment is a milestone for many. But you can have mixed feelings about this, particularly as you’ve had regular contact with your healthcare team ...

How often should I get a mammogram after 70?

The NHS Breast Screening Programme invites all women from the age of 50 to 70 for screening every 3 years . After the age of 70, you can arrange your own regular mammograms by contacting your local screening service. You are not routinely offered other tests to follow up breast cancer unless you have symptoms or feeling unwell.

How long do you have to have a mammogram?

You have a mammogram every year for at least 5 years after treatment for early breast cancer. You have mammograms every year until you are invited for routine breast screening. This is around the age of 50. You have mammograms every year for 5 years. After which you have routine breast screening as part of the National Screening Programme.

Why do you have follow up appointments?

Your healthcare team can give you information and support to help you cope. Your appointments are also a good opportunity to raise any concerns and ask questions that you might have.

How often do you have to have a check up?

How often are my check ups? After your treatment, you might have regular check ups for at least 5 years. How long you have these will vary depending on your hospital or clinic. You might have regular follow up appointments at the hospital.

Who can you see at a hospital check up?

If you are seen at the hospital your doctor or nurse will examine you. You might also see physiotherapists and dietitians during the check ups. You can arrange to see them with your doctor or nurse at the outpatient clinic. The National Institute for Health and Care Excellence (NICE) guidelines say that everyone who has had treatment ...

Screening for recurrence or new cancers

You should be seen by your oncology team 1-4 times per year for 5 years, and then annually after 5 years. Your provider will determine your follow-up appointment schedule with you.

If you are taking hormone therapy

If you are taking tamoxifen and still have your uterus, you should see a gynecologist or women’s health provider every year for an exam. Report any vaginal bleeding to your provider immediately, as this can be a sign of uterine cancer.

What about radiology and lab tests?

Routine lab testing, CT scans or bone scans to look for cancer spread (otherwise known as metastases) are not recommended. Research has shown that if a woman does develop metastatic disease, the type of treatment, response to treatment, and overall survival are equivalent, regardless of if it is found before symptoms develop.

If you are taking a bisphosphonate or denosumab

Survivors who are taking a bisphosphonate or denosumab for bone health should pay special attention to their dental health. You may be at risk of developing a rare side effect called osteonecrosis of the jaw (ONJ). Normally, the maxilla (upper jaw bone) and mandible (lower jaw bone) are covered by gum tissue.

Why is follow up care important for breast cancer?

One goal of follow-up care is to check for a recurrence, which means that the cancer has come back. Treatment for early stage or locally advanced breast cancer is given to eradicate as many cancer cells in the body as possible. However, cancer recurs because small areas of cancer cells that don't respond to treatment may remain undetected in ...

What is a recurrence of breast cancer?

Generally, a recurrence is found when a person has symptoms or an abnormal finding during a physical examination. Annual mammograms are also recommended after a diagnosis of breast cancer. The symptoms depend on where the cancer has recurred and may include: A lump under the arm or along the chest wall.

How do you know if you have breast cancer?

Breast cancer can come back in the breast or other areas of the body. Generally, a recurrence is found when a person has symptoms or an abnormal finding during a physical examination. Annual mammograms are also recommended after a diagnosis of breast cancer. The symptoms depend on where the cancer has recurred and may include: 1 A lump under the arm or along the chest wall 2 Pain that is constant, worsening, and not relieved by over-the-counter medication such as nonsteroidal anti-inflammatory medications (NSAIDs) 3 Bone, back, neck, or joint pain, fractures, or swelling, which are possible signs of bone metastases 4 Headaches, seizures, dizziness, confusion, personality changes, loss of balance, nausea, vomiting, or changes in vision, which are possible signs of brain metastases 5 Chronic coughing, shortness of breath, or trouble breathing, which are possible symptoms of lung metastases 6 Abdominal pain, itchy skin or rash, or yellow skin and eyes from a condition called jaundice, which may be associated with liver metastases 7 Changes in energy levels, such as feeling ill or extremely tired 8 Having a low appetite and/or weight loss 9 Nausea or vomiting 10 Rash or skin changes on the breast or chest wall 11 Changes in the shape or size of the breast, or swelling in the breast or arm

What does it feel like to have a breast removed?

Having a low appetite and/or weight loss. Nausea or vomiting. Rash or skin changes on the breast or chest wall. Changes in the shape or size of the breast, or swelling in the breast or arm. It is important that your surgeon explain what your breast will feel like after surgery and, when used, radiation therapy.

What happens after a lumpectomy?

After a mastectomy or lumpectomy to treat early-stage or locally advanced breast cancer, the breast may be scarred and may have a different shape or size than before surgery. Or, the area around the surgical site may become hardened.

Why is follow up care important?

Doctors want to keep track of your recovery in the months and years ahead. Follow-up care is also important for screening for other types of cancer. In some instances, patients may be able to visit a survivorship clinic that specializes in the post-treatment needs of people diagnosed with breast cancer.

What is the goal of cancer rehabilitation?

The goal of rehabilitation is to help people regain control over many aspects of their lives and remain as independent and productive as possible. Learn more about cancer rehabilitation. Learn more about the importance of follow-up care.

What is follow up after breast cancer treatment?

Different people are followed up in different ways. How you’re followed up after treatment will depend on factors such as: How likely you are to have side effects from treatment.

What is follow up after clinical trial?

Your research nurse will give you information on how you’ll be followed up. 3. The Recovery Package.

How often should I have a mammogram?

If you were already eligible for breast screening when diagnosed, you’ll have a yearly mammogram for five years. After this, you’ll be offered routine screening. All women aged 50 to 70 are invited for mammograms every three years as part of a national breast screening programme.

Why are women at high risk for breast cancer?

Women who remain at high risk because of a family history of breast cancer or who carry an altered BRCA gene will be offered regular tests for a longer period .

Why do people get scans for breast cancer?

Some people may be offered scans to check their bone strength. This is because some treatments for breast cancer, such as hormone therapy and chemotherapy, can affect the bones and increase the risk of developing osteoporosis (thinning of the bones). 6.

What is a follow up appointment?

Follow-up appointments usually focus on how you’re feeling. You can explain any problems, symptoms or treatment side effects you have. This is also your opportunity to ask questions. Writing your questions down beforehand can help you get the most out of the appointment.

How many parts are in the recovery package?

If you’re not offered any parts of the Recovery Package you can ask your healthcare team for more information. The Recovery Package is made up of four main parts.

Surveillance and Monitoring For Signs and Symptoms of Recurrence

  • One goal of follow-up care is to check for a recurrence, which means that the cancer has come back. Treatment for early-stage or locally advanced breast cancer is given to get rid of as many cancer cells in the body as possible. However, cancer recurs because small areas of cancer cells that don't respond to treatment may remain undetected in the body. Over time, these cells may i…
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Managing Long-Term and Late Side Effects

  • Most people expect to have side effects when receiving treatment. However, it is often surprising to survivors that some side effects may linger beyond the treatment period. These are called long-term side effects. Other side effects called late effects may develop months or even years after treatment has ended. Long-term and late effects can include both physical and emotional chang…
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Keeping Personal Health Records

  • You and your doctor should work together to develop a personalized follow-up care plan. Be sure to discuss any concerns you have about your future physical or emotional health. ASCO offers forms to help keep track of the cancer treatment you received and develop a survivorship care planwhen treatment is completed. At the conclusion of active treatm...
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