[Follow-up of women treated for breast cancer. State of the art].
The intensive follow up of breast cancer patients is not safer than a minimalist policy for breast cancer surveillance. The survival rate is not modified by the use of expensive exams. Follow up program are stressful, delay the patient rehabilitation and are useless because in 75% of cases the patient discovered the relapse by herself. A good clinical examination, including gynecological examination and a mammography are sufficient for a good follow up practice. The guide lines for the follow up of breast cancer patients include self examination of the breast monthly, clinical examination twice a year and an annual mammography during five years and an annual clinical examination and a mammography after. The radio therapist, the surgical or medical oncologist should be involved with the general practitioner for this follow up.
Lansac
J
J
Département de Gynécologie-Obstétrique, Reproduction Humaine et Médecine Foetale, CHU Bretonneau, Tours.
Diouf
A
A
D000359:Aftercare / Q000191:economics / Q000379:methods*; D001943:Breast Neoplasms / Q000401:mortality / Q000628:therapy*; D016504:Breast Self-Examination; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D008327:Mammography; D008403:Mass Screening / Q000191:economics / Q000379:methods*; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control*; D010808:Physical Examination; D016019:Survival Analysis
La surveillance d'une femme traitée pour cancer du sein. L'état de la question.