NCCN Guidelines for Patients® | Stage 0 Breast Cancer - page 29

NCCN Guidelines for Patients
Stage 0 Breast Cancer, Version 1.2014
Follow-up care
Follow-up care
Follow-up care is important. It is done to assess
your general health, find new breast tumors early,
and check for side effects of treatment. The tests
recommended after DCIS treatment are discussed
Medical history and physical exam
After DCIS treatment, a medical history and physical
exam are recommended every 6 to 12 months for
5 years. If test results are normal for 5 years, you
should then have these tests every year. During your
visit with your doctor, tell him or her about any new or
worse symptoms you have. There may be ways to get
relief. As part of your physical exam, your doctor may
look inside your vagina for bleeding or other signs of
disease if you are taking hormone therapy.
Most new breast tumors after DCIS treatment occur
within the breast tissue near to the DCIS site. Thus,
the first mammography should be done within 6 to
12 months after lumpectomy or breast-conserving
therapy. After mastectomy, mammography is
recommended every year on the breast that didn’t
have DCIS. If you had a mastectomy on both breasts,
mammography isn’t needed.
Breast awareness
Examining your own breasts is important. You should
know the feel and look of your breasts so that you
can notice if significant changes have occurred. If you
get menstrual periods, a self exam at the end of your
period may provide the best information.
When you find changes that persist for more than a
month, you should see your doctor. He or she can
decide if you need more tests. Changes in breasts
are often not cancer. But if there’s a problem, having
any changes checked by your doctor will allow you to
get treatment promptly.
Breast MRI
Your doctor may want you to get a breast MRI
maging) every year if your
family has a strong history of breast cancer. Breast
MRI may also be done if you’ve had radiation near
your breast that didn’t have DCIS.
Breast MRI uses powerful magnets to make pictures
of the insides of your breasts. Before the test, a
contrast dye may be injected into your vein to make
the pictures clearer. The dye may cause you to feel
flushed or get hives. Rarely, serious allergic reactions
occur. Tell your doctor if you have had bad reactions
For a breast MRI, you must remove your top and bra
and lie face down on a table. The table has padded
openings for your breasts. In the openings, there are
coils that help to make pictures. During breast MRI,
the table moves slowly through the tunnel of the
MRI machine. A breast MRI is completed in 30 to 45
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