Once treatment has ended, follow-up care is very important.

• Maintain on-going communication with your oncologist and surgeon. Schedule regular appointments. Typically, you should see them every three to six months for the first three years after treatment ends. But your schedule will depend on your specific diagnosis.
• You should also continue to have regular mammograms, even if a mastectomy was done.
• Routine chest X-rays and blood tests in women who have no symptoms are not always reliable ways to check for the spread of breast cancer. They are not generally recommended.
• Between medical visits, watch for any changes in your body. Most recurrences happen within five years of when the cancer was first treated.
• Women taking tamoxifen should be aware of and report any changes in uterine bleeding. They should also visit their oncologist regularly.
• Coordinate any additional visits to gynecologists or primary care physicians for routine physicals with your oncologist.
• Take care of your emotional and physical well-being. Make this a priority in your life.
• Avoid the tendency to compare your treatment plan and outcome with other breast cancer patients. Every diagnosis is a little different.

Make sure you give yourself regular breast self-examinations after breast cancer treatment. Watch for symptoms such as:

• Changes in your breasts, including new lumps.
• Bone pain or tenderness that does not go away.
• Skin rashes, redness or swelling.
• New lumps in your breast or chest.
• Shortness of breath or chest pain.
• Persistent abdominal pain.
• Weight loss

When choosing the doctor to handle your follow-up care, consider choosing the one with whom you feel most comfortable.

Reviewed by Sonja Eva Singletary, MD, Professor of Surgical Oncology, The University of Texas M. D. Anderson Cancer Center.

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