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U-M Health SystemThis information is approved and/or reviewed by U-M Health System providers but it is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition.

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Breast Cancer: Follow-up After Surgery

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

After you have treatment for breast cancer, it is very important to discuss any new symptoms or problems with your healthcare provider. Prevention or early detection of the recurrence of cancer should be a joint effort by both you and your provider. This should continue throughout your lifetime.

What happens during follow-up exams?

You will see your healthcare provider (usually your oncologist) about every 3 months for the first year after breast cancer surgery. At each follow-up visit your 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 and other X-ray exams may be done on a regular basis, but they will not be done at every visit. If a lump is found, it will be checked very carefully. You may have a biopsy.

After the first year, depending on how you are doing, your visits will probably be less frequent.

How can I take care of myself?

Be sure to eat a healthy diet, quit smoking if you are a smoker, and follow an exercise program recommended by your healthcare provider.

Breast self-exams and yearly mammograms are an important part of your continued good health. Your yearly mammogram is even more important after you have been treated for breast cancer.

Between visits with your healthcare provider, watch for the following signs that the cancer may have come back:

  • changes you feel in a breast or in your scar during your breast self-exam, especially thickenings, lumps, redness, pain, or swelling
  • long-lasting pain in the shoulder, breast, hip, lower back, pelvis, or legs
  • loss of appetite or unexplained weight loss or gain
  • long-lasting cough.

None of these symptoms is a clear sign that the cancer has come back. 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.

There are many support groups for women who have had breast cancer. 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 healthcare provider for information about the group nearest you.

For more information on cancer, contact:

Developed by Phyllis G. Cooper, RN, MN, and RelayHealth.
Published by RelayHealth.
Last modified: 2008-08-20
Last reviewed: 2008-03-05
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
© 2009 RelayHealth and/or its affiliates. All Rights Reserved.
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