Clinical Surveillance of Breast Cancer Recurrence

There are 2 schools of thoughts on surveillance of breast cancer recurrence.

One is the symptom-sign-directed surveillance approach.  The other is screening diagnostic-procedure-directed surveillance approach.

Symptom-sign-directed surveillance approach is synonymous with clinical surveillance of breast cancer recurrence.

Here the physician asks patients for presence of any symptoms (how they feel / what they have noticed in their body) that may be suggestive of recurrence, local, regional and distant.

Here the physician also does a physical examination (clinical examination) to check for any signs of recurrence, local, regional and distant.

What are the areas in the body that a physician usually does a physical examination to check for local and regional recurrence?

  • Chest area – operated areas, residual breasts after subtotal mastectomy, chest wall after total mastectomy, and intact breast (no previous operation) – to check for local recurrence and new cancer on the intact breast
  • Axillary areas to check for possible lymph node metastasis
  • Supraclavicular areas to check for possible lymph node metastasis
  • Right subcostal area to check for possible hepatic metastasis

Above constitute the areas of focused physical examination for possible local and regional breast cancer recurrence.


ROJ@19jan3

Advertisements
This entry was posted in Breast Cancer Recurrence. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s