History and

Physical exam

Every 3–6 months for years 1–3, then every 6–12 months for years 4–5, then yearly thereafter.

Breast self-exam

Monthly. At every visit, women should be counseled for symptoms of recurrence (see symptom list below).

Mammogram

Women who have had breast-conserving surgery (that is, lumpectomy) should have a post-treatment mammogram at 1 year after the initial mammogram, but no sooner than 6 months following completion of radiation therapy. Yearly bilateral mammograms are recommended unless otherwise indicated based on findings following surgery and radiation treatment.

Pelvic exam

Regular yearly gynecologic care is recommended for all women. Women who still have their uterus and who are taking Tamoxifen are at increased risk for developing endometrial cancer (cancer of the uterus) and are advised to report any vaginal bleeding to their health care provider. Longer follow-up intervals may be appropriate for women who have had their uterus and ovaries removed.

Tests not recommended for Routine Follow-Up

Routine blood tests*: CBC (complete blood count), CMP (complete metabolic panel), or BMP (basic metabolic panel)

Imaging studies*: Chest x-ray, bone scan, PET scan, liver ultrasound, CT scan, breast MRI

Breast cancer tumor markers*: CA-15-3, CA-27.29, or CEA

*These tests are now recommended for surveillance testing ONLY when symptoms are reported that indicate a need for testing. Your healthcare provider will order the test(s) when indicated.