title: [Breast carcinoma--revision of after-care recommendations. 1: Results of many large studies from the literature are in agreement].
abstract: In the past, recommendations for the follow-up of women who had undergone primary treatment for local or locoregional breast cancer, were mostly concerned with "programmed" protocols in which the frequency of the follow-up appointments, and the examinations to be performed on the respective occasions (e.g. bone scintigraphy, chest X-ray, abdominal ultrasound, mammography and laboratory investigations) were rigidly fixed. Numerous new facts reported in the literature (including prospective randomized studies and meta-analyses) now appear to show that this formalized approach to follow-up brings the patient no advantage in terms of approved chances of being cured, longer survival or better quality of life. For this reason, for breast cancer follow-up, a strategy is proposed that is based on meticulous history-taking and clinical examination, and which also emphasizes psychosocial rehabilitation aspects. Examinations using technical equipment are carried out only when justified by clinical suspicion of recurrent disease.
authors.affiliation: Medizinische Klinik III, Ludwig-Maximilians-Universität München.
authors.forename: H
authors.initials: H
authors.lastname: Sauer
authors.forename: D
authors.initials: D
authors.lastname: Hölzel
mesh_terms: D000359:Aftercare / Q000379:methods*; D001943:Breast Neoplasms / Q000401:mortality / Q000628:therapy*; D003131:Combined Modality Therapy; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local / Q000401:mortality / Q000517:prevention & control; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D015996:Survival Rate
vernacular_title: Mammakarzinom--Revision der Nachsorgeempfehlungen. Teil 1: Die Aussagen zahlreicher grosser Studien aus der Literatur stimmen überein.