Breast Cancer Survivorship Care Guideline

The Breast Cancer Survivorship Care Guideline is advice from the American Cancer Society and the American Society of Clinical Oncology to help doctors, nurses, and other health care professionals provide care for breast cancer survivors who have finished cancer treatment. The cancer survivorship care guideline addresses issues that can occur in breast cancer survivors after their treatment.

* Starting at diagnosis and until the end of treatment, patients with breast cancer receive most of their health care from specialists such as a surgeon, medical or radiation oncologist, etc. Once treatment is finished, most of the medical care for these patients will be provided by their primary care clinician.
* Breast cancer occurs mostly in older women, and many of them have other health issues that are treated by primary care clinicians.
* Problems can be caused by the cancer or by the treatments. It is possible for side effects or complications to go on or even occur after treatment is complete. Here are some examples:

* ○ Numbness or discomfort in the hands and feet (neuropathy).
* ○ Swelling in the arm, breast, or chest wall (lymphedema).
* ○ Early menopause; hot flashes.
* ○ Distress, depression, and anxiety.
* ○ Fatigue.
* ○ Thinning of bones (osteoporosis); broken bones.
* ○ Memory issues; difficulty concentrating.
* ○ Body image concerns.

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