Surveillance Guideines

 

Post Diagnosis Physical Exam Mammogram
(unless masectomy)
1-2 years every 4 months yearly
3-5 years every 6 months yearly
thereafter yearly yearly

History and physical exam should focus on symptoms of local or distant disease. Frequent sites of metastasis
include liver, lung and bone.

The history should include: 

  • Medication compliance if the patient is prescribed anti-estrogen therapy
  • Return of menses unless previous hysterectomy
  • Bone pain
  • Fatigue / dyspnea
  • Unexplained weight loss,  GI complaints,
  • abdominal pain, ascites
  • Arm swelling on the affected side
  • New headaches, neurological symptoms
  • New nodules or masses

 

​The physical exam should include:

  • Assessment of lymph nodes in the head and neck region
  • Breast or chest wall examination including palpation
  • of the scar and axillary nodes
  • Assessment for lymphedema
  • Respiratory and cardiac assessment
  • Abdominal exam