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OnkoVodič – Rak Dojke Srbija
OnkoVodičRak Dojke Srbija
Step 7

Entering the follow-up period

Follow-up period after breast cancer treatment
After completing initial treatment ( and/or and/or ), when there are no signs of active disease, you enter the phase. The goal is to stay well, to recognize possible changes early, and to receive the support you need.
What does follow-up look like?

Regular check-ups with the according to your facility's plan. Pay attention to symptoms, examination of the breast/operated area and armpit, and as needed.

Documents for the check-up

Save and bring discharge summaries from or , decisions, last , and other images – all in one folder.

Symptoms to watch for

New lump or thickening, redness/swelling of breast or scar, persistent pain, unusual discharge, arm swelling (), sudden bone pain – report to your doctor.

Lifestyle habits

Light physical activity, balanced nutrition, quitting smoking, limiting alcohol, and regular sleep affect strength and recovery.

Support
Psychologist, physiatrist (shoulder/arm exercises), nutritionist, counseling centers, and patient associations.
What's next?

In the next step (Hormonal Therapy) we will discuss (if planned), and then (Follow-up step) also the exact schedule of check-ups and annual mammography.

Are frequent scans needed?

If there are no symptoms, in practice an annual of the operated and/or other breast is done. Additional scans are done only if indicated (new symptoms or findings on examination).

Is it normal to feel fear of recurrence?

Yes. Anxiety after treatment is common. Talking to a psychologist or support group can help a lot. Ask your doctor about resources at your facility or city.

What about the arm after surgery/radiation?

Request a referral for physical therapy and shoulder exercises. If you notice arm swelling (lymphedema), react early – there are compression sleeves and special exercises that help.

When to definitely contact the doctor earlier?

  • New lump in the breast or scar, progressive pain or redness.
  • Persistent bone pain, dry cough without clear cause, loss of appetite/weight.
  • Arm swelling after surgery.

What does "no active disease" mean?

It means there are no signs of tumor on examination and in findings after completing initial treatment. However, regular follow-up is important to maintain good health and recognize changes early.

How do I organize myself?

  • Keep a calendar of check-ups and therapies; store all reports together.
  • Prepare a list of questions for the doctor before each appointment.
  • Gradually introduce physical activity (per doctor's/physiatrist's recommendation).

What follows in the next steps?

In the next step (Hormonal Therapy step) we will discuss in detail long-term (who it's for, how long it lasts, most common side effects and tips), and then (Follow-up step) also the rhythm of check-ups and annual if there are no symptoms.