Breast Cancer Recurrence

Anxiety feelings after breast cancer treatment are common and occur partly because the end has come to the frequent visits with your doctors, which can serve to comfort - giving you the tangible notion that someone is watching over you and your health. However, you may be struggling with the fear of recurrence that many women experience after their treatments. Remember that during the treatment planning process, you want to develop a plan to optimize your chance of cure and to carry out that plan. When, this is done, it is time for you to go on with your life. For some women, this means putting the whole process behind them, not even allowing the experience to enter their thoughts, but, for most women, life can't ever be the same again. These women feel that they must do something to give cancer meaning in their overall life experience - such as becoming an advocate for other women who may be suffering. Breast cancer enables many changes to take place in your life, whether they come in the form of helping a new friend or whatever other activity may create that meaning or sense of purpose for you.
Once a woman has breast cancer, most often, there is an underlying fear of cancer recurrence. Unfortunately, some women have recurrences, even after they have done everything they are supposed to do to prevent this. Tremendous controversy lies in regard to how much and what kind of surveillance is necessary after breast cancer therapy. How one should be followed up for recurrence and by whom should be given some thought. Since you are most likely being treated by several medical personnel, once your treatment is complete, you should discuss with your team who is the leader and who will offer future tests for you.
At the very least, you should be examined by a physician, usually the same examiner, every six months or so. If breast surgery with radiation, or lumpectomy alone, has been your form of treatment, you should undergo mammography approximately six months after completion of radiotherapy or surgery. This will serve as a new baseline that future tests can be measured against. Mammography should then be repeated annually. If you have had a mastectomy with or without breast reconstruction surgery, the tissue just beneath the skin and armpit are the areas of possible recurrence and a physical examination is all that is necessary for follow up in your case. Although uncommon, it is essential to diagnose local recurrence as soon as possible.
Controversy also exists about how much testing is necessary to look for a systemic relapse. If you are on protocols testing new drug regimes, there is a set of schedules for doing blood analysis, chest x-rays and bone scans. Bone scans, computed tomography scans and magnetic resonance imaging as routine follow up are not recommended for three reasons: these tests are quite expensive; they expose you to radiation; and studies show that finding a systemic recurrence a few months early, as these test allow, does not affect further treatment or response.
Once you have breast cancer, you join a huge group of women, well over 2 million strong, who are cancer survivors. Your life will have changed in many ways forever. How you cope with being a survivor and dealing with the fear of recurrence head-on will largely influence the quality of the rest of your life.