Posted 4/17/2014 by hhill
This is a second (a bonus?) blog for today. Tomorrow we are traveling to Maine to open our beloved cottage for the season, and I know it will be hard to find time to make the daily entry. One real uncertainty is whether the internet will be working when we get there; it is never very good, but, after a long and hard winter, it is may be completely messed up. If that is the case, I will be back to a library visit to write the blog, and I know that won't happen tomorrow.
This second topic today is follow up for women after adjuvant breast cancer treatment. Over the years of my employment, standard follow up has changed a great deal. Thirty years ago, women had annual bone scans and chest x-rays, in addition to a lot of blood work, after treatment ended. Perhaps five years later, the bone scans were stopped unless there was a specific concern; the annual chest x-rays continued until about fifteen years ago. Now, the ASCO recommendations are simple: annual mammograms (and perhaps annual breast MRIs for women at high risk) and an appointment with your doctor for a conversation and an exam. That's it. If you are interested in their guidelines: http://www.asco.org/quality-guidelines/breast-cancer-follow-and-management-after-primary-treatment-american-society