What is the follow-up after a breast tumor is removed?

Following up on any changes or new problems is vital in the treatment of breast cancer. Prevention or early detection of any recurrence of cancer should be a joint effort by both you and your doctor. This should continue throughout your lifetime.

What happens during follow-up exams?

You will see your doctor about every 3 months for the first year after breast cancer surgery. At each follow-up visit the doctor will check for return of the cancer or spread of the cancer to other parts of your body. You will have a physical exam and lab tests. Mammograms, chest x-rays, or bone scans may be done on a regular basis, but they may not be done at every visit. If a lump is found, it may be biopsied.

After the first year, depending on how you are doing, your visits will probably decrease in frequency.

How can I take care of myself?

Between visits with your doctor, watch for signs of possible recurrence of breast cancer:

• changes you feel in a breast or in your scar during your breast self-exam, especially thickenings, lumps, or inflammation

• long-lasting pain in the shoulder, breast, hip, lower back, or pelvis

• loss of appetite or unexplained weight loss or gain

• digestive trouble such as nausea, vomiting, diarrhea, or heartburn that lasts for several days

• changes in your menstrual period

• long-lasting dizziness, blurred vision, severe and frequent headaches, or difficulties walking

• long-lasting coughing or hoarseness.

None of the above symptoms is a clear indication that the cancer has recurred. It is important, though, to report any of these changes to your doctor as soon as possible. Do not wait until your next scheduled checkup.

Be sure to eat nutritious foods, quit smoking, and follow an exercise program your doctor has recommended.

Breast self-exams are an important part of your continued good health. If you find any changes or abnormalities, you should call your doctor as soon as possible.

There are many support groups for women who have had mastectomies. These groups can help with emotional concerns and questions after surgery and with practical things such as finding comfortable bras and bathing suits. Ask your doctor for information about the group nearest you.