ROUTINE FOLLOW UP OF BREAST CANCER PATIENTS

WHEN AND HOW TO ORIENTATE

Authors

  • Sérgio Luiz Faria
  • Luiz Henrique da Silva Leme
  • Júlio Cesar Narcisio Gomes

Keywords:

neoplasms, follow up studies

Abstract

The necessity and the method of follow-up of breast cancer patients is a controversial issue. There are divergences among professionals about which exams should be asked and periodicity of consultations. Some routine procedures adopted nowadays do not have support of scientific evidence. From the point of view of regional control, to orientate the patient to do breast self-exam and consultations each 4 to 6 months with annual mammography is a consensual and efficient procedure. The less defined aspect refers to routine research of hematogenous metastases inpatients with no symptoms. This subject has been discussed with antagonistic opinions. The request of several routine laboratorial and radiological exams produces a high cost, stresses out the patients, and there is no evidence of survival improvement. At least two prospective European studies comparing survival of patients with no symptoms Who underwent routine exams versus follow-up oriented by complaints showed equal survival. For patients Who do not participate in prospective studies, which represent the majority of the cases, follow-up with clinical examination and request of exams when symptoms demand is a good alternative when considering cost/benefit.

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References

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Published

2000-04-30

How to Cite

Faria, S. L., Leme, L. H. da S., & Gomes, J. C. N. (2000). ROUTINE FOLLOW UP OF BREAST CANCER PATIENTS: WHEN AND HOW TO ORIENTATE. Revista De Ciências Médicas, 9(1). Retrieved from https://periodicos.puc-campinas.edu.br/cienciasmedicas/article/view/1339

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