FOLLOW UP CARE

After your treatment you have regular check ups for at least 5 years. You have yearly mammograms for at least 5 years

Your doctor or breast cancer nurse will use the check ups to

• See how you are getting over your treatment
• Discuss further treatment
• Discuss any side effects you may have
• Ask you if you are worried about anything
• Check your other breast
• Check out any new symptoms, if you have any

Tests to be done :

• Xray Chest PA view
• Usg abdomen and Pelvis
• Mammograms
• Bone densiometry

Lymph Node Removal & Lymphedema

If lymph nodes are removed during breast-conserving surgery, the drainage of lymphatic fluid from the arm on the surgical side may be affected. Problems with lymphatic drainage may result in arm swelling and an increased risk for infection from trauma to the arm. In addition, there is an increased risk for blood clots in the blood veins of the armpit because of surgical trauma in the area.

Lifelong precautions to help prevent problems in the affected arm after lymph node dissection include, but are not limited to:

• No needle sticks or IV insertions in the affected arm
• Follow instructions regarding exercises of the arms carefully
• Avoid injuries, such as scratches or splinters, to the affected arm
• Elevate the arm, with the hand above the elbow, to assist with drainage of lymphatic fluid
• Wear gloves when gardening or performing any activity in which there is a risk for skin puncture of the fingers and/or hands, or when using strong or harsh chemicals such as detergents or household cleaners
• Avoid sunburns
• Use an electric shaver rather than a razor with a blade to shave under the arm
• Avoid any constrictive items on the affected arm, such as elastic cuffs or tight watches or other jewelry
• Use the unaffected arm to carry heavy packages, bags, or purses
• Avoid insect bites or stings by using insect repellents and/or wearing long sleeves