NCCN Guidelines for Patients® | Stage 0 Breast Cancer - page 16

NCCN Guidelines for Patients
Stage 0 Breast Cancer, Version 1.2014
Follow-up care
Your doctor may suggest that you have a bilateral
salpingo-oophorectomy. This surgery removes
both ovaries and both fallopian tubes. It is only
recommended if you likely have mutations in the
Follow-up care
Follow-up care is important. It is done to assess your
general health, find any breast tumors early, and
check for side effects. Tell your doctor about any
side effects from hormone therapy or other treatment
you’re taking. There may be ways to get relief.
Breast cancer in women who’ve had LCIS can start
anywhere in the breast. It doesn’t always start where
the LCIS was found. Breast cancer may start in the
ducts rather than the lobules. It can also start in the
breast that didn’t have LCIS. Although it’s very rare,
breast cancer can still occur if you’ve had a total
mastectomy of both breasts. The tests used to screen
for breast cancer are discussed next.
A bilateral mammography every year is recommended
once a woman has reached a certain age. You should
talk with your doctor about at what age you should
start having mammograms, but certainly start by
the age of 50. However, mammography isn’t done if
you’ve had both breasts removed for risk reduction.
More information about mammography can be found
on page 11.
A CBE is recommended every 6 to 12 months. This
test involves your doctor feeling your breasts to see
whether there is a lump or thickening that isn’t like
normal breast tissue. If you had a total mastectomy
of both breasts, your doctor will examine your chest
or reconstructed breasts. These areas may be felt
while you sit or stand up as well as when you recline.
Your doctor will also check for enlarged lymph nodes
in your armpits and around your collarbone. Some
women feel uncomfortable having their breasts
touched by their doctor. Keep in mind that this test
provides important information and is quick.
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