title: [Breast cancer: patient care, rehabilitation, psychooncology].
abstract: The development of a recommendation was intended for the follow-up of breast cancer patients treated with curative intent in Hungary. Follow-up includes the permanent contact with and health education of the patient, the surveillance and control of the adverse effects of oncological therapies or radiotherapy, the screening of metachron cancers, and the comprehensive (physical, psychological and social) rehabilitation of the patient. The early detection of local/regional tumor relapse is essential with careful follow-up, but there is no need for screening of distant metastases by means of imaging studies or tumor marker tests. If adjuvant endocrine therapy is needed, optimal adherence should be ensured with supportive therapy. In rare cases, special issues such as breast cancer risk/genetic mutation, pregnancy are raised, which should be thoughtfully discussed in view of recent advances in oncology. Follow-up is generally practised by the oncologist, however, in some cases the social worker, the physiotherapist, the psychooncologist, or in special cases, the lymphoedema expert is to be involved. The follow-up approach should be comprehensive and holistic.
authors: Onkoterápiás Klinika, SZTE, Szeged, Hungary. kahan.zsuzsanna@med.u-szeged.hu.
authors: Zsuzsanna
authors: Z
authors: Kahán
authors: Onkológiai Osztály, Fejér Megyei Szent György Egyetemi Oktató Kórház, Székesfehérvár, Hungary.
authors: István
authors: I
authors: Szántó
authors: Onkoradiológiai Központ, Bács-Kiskun Megyei Kórház, Kecskemét, Hungary.
authors: Mária
authors: M
authors: Molnár
authors: Onkológiai Osztály, Szent László Kórház, Budapest, Hungary.
authors: Magda
authors: M
authors: Rohánszky
authors: Emlõ- és Lágyrészsebészeti Osztály, Országos Onkológiai Intézet, Budapest, Hungary.
authors: Zsuzsa
authors: Z
authors: Koncz
authors: Onkológiai Intézet, Debreceni Egyetem, Debrecen, Hungary.
authors: Mónika
authors: M
authors: Mailáth
authors: Fizioterápia Tanszék, Semmelweis Egyetem ETK, Budapest, Hungary.
authors: Zsuzsanna
authors: Z
authors: Kapitány
authors: Onkoterápiás Klinika, SZTE, Szeged, Hungary. kahan.zsuzsanna@med.u-szeged.hu.
authors: Rita
authors: R
authors: Dudás
mesh_terms: D001943:Breast Neoplasms / Q000523:psychology / Q000628:therapy*; D006801:Humans; D006814:Hungary; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control; D005791:Patient Care; D000073320:Psycho-Oncology