Followup Guidelines For Early Breast Cancer

Primary Care Physician (PCP can do much of followup. Here are guidelines:

How Do I Follow Patients With Early Breast Cancer After Completing Adjuvant Therapy
Jennifer M. Matro, Lori J. Goldstein
Current Treatment Options in Oncology in press
http://www.ncbi.nlm.nih.gov/pubmed/24346688

 

breast cancer followup1

 

postbreatca followup2

  • “In a prospective study designed to investigate the combined effect of physical activity, diet and obesity on breast cancer survival, 1,490 women treated for early-stage breast cancer were assessed for dietary patterns, physical activity, and body weight/body mass index (BMI) [67]. A 50 % reduction in risk of death was found among women who engaged in healthy lifestyle behaviors, although a minority of survivors followed a healthy lifestyle. In a multivariate Cox model, the combination of consuming five or more daily servings of vegetables and fruits and performing the equivalent of walking 30 min 6 days a week was associated with a significant survival advantage (HR 0.56; 95 % CI, 0.31–0.98). Notably, the risk reduction was seen in both obese and nonobese women who adhered to the healthy behaviours”  (not see in women’s health initiative study but they did not specifically look at breast cancer cases)
    behaviors.
  • soy intake may  lower recurrence

In a Canadian study, patients followed by family physicians did as well:

Grunfeld E, Levine MN, Julian JA, et al.
Randomized trial of long-term follow-up for early-stage breast  cancer: a comparison of family physician versus specialist care.
J Clin Oncol. 2006;24:848
http://www.ncbi.nlm.nih.gov/pubmed/16418496

 Comment – Still no magic bullet to find early recurrence except symtoms, examination and mammograms… Healthy life style may make major difference but is easier said than done…

 

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