Treatment FAQ

what follow up scans after breast cancer treatment

by Margaretta Schamberger Jr. Published 2 years ago Updated 2 years ago
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Depending on your signs and symptoms, follow-up tests may include: Blood tests (including tumor marker tests) Imaging tests (such as bone scans, CT scans, PET scans and chest X-rays) A tissue biopsy (to check if a suspicious finding is a recurrence of breast cancer)

How often should you have scans 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.

What scans are done after breast cancer?

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.

Should you have scans after 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.

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.

When are you considered cancer free after breast cancer?

The cancer may come back to the same place as the original primary tumor or to another place in the body. If you remain in complete remission for five years or more, some doctors may say that you are cured, or cancer-free.

When are you considered a breast cancer survivor?

So, if a breast mass shows up on a mammogram or is detected during a monthly breast self-exam, you have already been living with it for some time. A such, surviving this period of time is what prompts many people to consider diagnosis the point at which you can be called a breast cancer survivor.

How often should breast cancer survivors get mammograms?

For women with no history of cancer, U.S. screening guidelines recommend that all women start receiving mammograms when they turn 40 or 50 and to continue getting one every 1 or 2 years. This routine continues until they turn about 75 years of age or if, for whatever reason, they have limited life expectancy.

What type breast cancer has the highest recurrence rate?

Research suggests that estrogen receptor-positive breast cancer is more likely to come back more than five years after diagnosis. In this study, the researchers looked at the risk of late breast cancer recurrence, meaning the breast cancer came back 10 or more years after diagnosis.

What tests are done after radiation therapy?

After treatments like chemotherapy, radiation, immunotherapy, and targeted therapy, your doctor will examine you for any new growths. You'll also get blood tests, X-rays, and other imaging tests. These tests will measure your tumor and see if your treatment has slowed or stopped your cancer.

How soon after a lumpectomy Do you have a mammogram?

Most experts recommend that women who have had breast-conserving surgery (BCS, sometimes called a partial mastectomy or lumpectomy) get a mammogram of the treated breast 6 to 12 months after radiation treatment ends.

When do you start radiation after lumpectomy?

Radiation after Lumpectomy A course of radiation starts between six and 12 weeks after lumpectomy surgery. Most frequently, we target the entire breast (whole-breast radiation). In some cases, we also treat nearby lymph nodes.

How to help someone with breast cancer?

Do speak to your breast care nurse. They can put you in touch with local groups that can help. It can sometimes help to talk to others who have similar experiences.

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.

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.

What to do if you have a symtom in between appointments?

Contact your doctor or specialist nurse if you have any concerns between appointments. You should also contact them if you notice any new symptoms. You don’t have to wait until your next visit.

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.

What do they ask when you are on a med?

They ask how you are feeling, whether you have had any symptoms or side effects and if you are worried about anything.

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 ...

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 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.

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.

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 cancer rehabilitation?

Cancer rehabilitation may be recommended, and this could mean any of a wide range of services, such as physical therapy, career counseling, neurocognitive testing, pain management, nutritional planning, and/or emotional counseling. 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.

How long does it take for a person to feel a swollen chest after radiation?

This is a life-long risk for survivors. Long-term effects of radiation therapy. Some survivors experience breathlessness, a dry cough, and/or chest pain 2 to 3 months after finishing radiation therapy. That is because radiation therapy can cause swelling and a hardening or thickening of the lungs called fibrosis.

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.

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.

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 .

How long do you have to 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.

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.

What does it feel like to be last in hospital?

For some people, the last hospital-based treatment is the goal they focus on, and getting there can feel like a real achievement. But some people also feel isolated, low or anxious when their regular hospital appointments stop.

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.

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 conditions can a doctor check for?

Conditions your doctor may want to check for include: Bone density (certain cancer drugs and menopause can weaken your bones) Diabetes. High blood pressure. Heart disease. Weight gain or obesity. Make taking care of your emotional and physical well-being a priority in life.

How long does it take for cancer to come back?

Between medical visits, watch for any changes in your body. Most of the time, if cancer comes back, it's within 5 years of when it was first treated.

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.

Does Tamoxifen cause vaginal bleeding?

If you take tamoxifen, tell your doctor about any unusual vaginal bleeding. If you take it and still have your uterus, you need an annual Pap smear, regardless of age.

How long does it take for breast cancer to come back?

The chance that breast cancer will come back (recur) is greatest within 5 years, so close follow-up is needed during this time. Women who are diagnosed with breast cancer also have a higher risk of developing cancer in the opposite breast, as well as cancer of the colon, ovary and uterus.

What to do if cancer comes back?

If the cancer has come back, you and your healthcare team will discuss a plan for your treatment and care.

What to ask during a follow up visit?

During a follow-up visit, your healthcare team will usually ask questions about the side effects of treatment and how you’re coping.

Can tamoxifen cause cancer?

If you are taking tamoxifen (Nolvadex, Tamofen), there is a very small chance that you could develop cancer in the lining of your uterus. Your doctor will do a pelvic exam every year to check for any changes to your uterus.

Can you get a breast cancer test if you have no symptoms?

No other tests are done if you do not have any signs or symptoms that your breast cancer has recurred. Your doctor may order tests if there are symptoms of breast cancer recurrence:

What is TNBC follow up?

Follow-Up Care for TNBC. Describes breast cancer cells that do not have estrogen receptors, progesterone receptors, or large amounts of HER2/neu protein. Also called ER-negative PR-negative HER2/neu-negative and ER-PR-HER2/neu-. Studies are underway to find additional treatments for triple-negative breast cancer.

How long does triple negative breast cancer last?

After treatment ends, you will see your doctor: During the first 3 years after treatment: Every 3 to 6 months. During years 4 and 5 after treatment: Every 6 to 12 months. Six years or more after treatment: Once a year. If you still have remaining breast. tissue.

How do doctors find recurrences?

Doctors find recurrences mostly through physical exams and good health histories. If you have a very high risk of developing a new breast cancer, digital mammography and MRI may be used together to help your doctor see breast changes. Breast. MRI.

What is a mammogram?

mammogram. An X-ray of the breast. mammogram. Be sure to ask your doctor how often you should have. screening. Checking for breast cancer when there are no symptoms. Preventative mammograms are an example of screening. screening. Bring any questions to your follow-up appointments.

What is an oncologist?

oncologist. A doctor who specializes in treating cancer. Some oncologists specialize in a particular type of cancer treatment. For example, a radiation oncologist specializes in treating cancer with radiation.

What is MRI used for?

MRI is especially useful for imaging the brain, the spine, the soft tissue of joints, and the inside of bones. Also called magnetic resonance imaging, NMRI, and nuclear magnetic resonance imaging. MRI can also find changes that are not cancer, though. You may have to go through biopsies to find out. Updated.

What is cancer prevention?

In medicine, action taken to decrease the chance of getting a disease or condition. For example, cancer prevention includes avoiding risk factors (such as smoking, obesity, lack of exercise, and radiation exposure) and increasing protective factors (such as getting regular physical activity, staying at a healthy weight, and having a healthy diet). ...

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