Red M - South Coast Urogynecology
Red M. Alinsod, M.D., FACOG, ACGE
South Coast Urogynecology
The Women's Center
31852 Coast Highway, Suite 200
Laguna Beach, California 92651
949-499-5311 Main
949-499-5312 Fax
Breast Cancer: Follow-up After Surgery
What is the follow-up after a breast tumor is removed?
Following up on any new symptoms or 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 health care provider. This should continue throughout your lifetime.
What happens during follow-up exams?
You will see your health care provider (usually your oncologist) about every 3 months for the first year after breast cancer surgery. At each follow-up visit your health care provider 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 will not be done at every visit. If a lump is found, it will be completely evaluated and you may have a biopsy.
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 health care provider, watch for signs of possible recurrence of breast cancer. None of the following symptoms is a clear indication that the cancer has recurred. It is important, though, to report any of these changes to your provider as soon as possible. Do not wait until your next scheduled checkup. Possible signs that the cancer has come back are:
• 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
• long-lasting dizziness, blurred vision, severe and frequent headaches, or difficulty walking
• long-lasting coughing or hoarseness.
Be sure to eat a healthy diet, quit smoking if you are a smoker, and follow an exercise program recommended by your health care provider.
Breast self-exams are an important part of your continued good health. If you find any changes or abnormalities, you should call your health care provider as soon as possible. Your yearly mammogram is even more important after you have been treated for breast cancer.
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 health care provider for information about the group nearest you.
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