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Optimization of Breast Biopsy and Mastectomy Sample Collection Procedures for Biobanking, Personalized Medicine, and Research Applications
Published on: September 2, 2025
Optimizing follow-up after breast cancer treatment
1Ontario Institute of Cancer Research and University ofToronto, Toronto, Ontario, Canada. eva.grunfeld@utoronto.ca
Current Opinion in Obstetrics & Gynecology
|January 9, 2009
Summary
Optimizing breast cancer patient follow-up requires an individualized approach. While annual surveillance mammograms are recommended, other tests and visit frequencies lack evidence, suggesting tailored survivorship care plans are best.
Area of Science:
- Oncology
- Survivorship Care
- Evidence-Based Medicine
Background:
- Posttreatment follow-up for breast cancer patients remains a complex and debated area.
- Current research spans nearly two decades, exploring various follow-up strategies.
Purpose of the Study:
- To review studies on optimal posttreatment follow-up strategies for breast cancer patients.
- To evaluate different components of follow-up care, including surveillance methods and care models.
Main Methods:
- Systematic review of studies on breast cancer survivorship care.
- Analysis of surveillance mammograms, alternative follow-up models, and population-based care patterns.
Main Results:
- Annual surveillance mammograms are beneficial and recommended; other routine tests lack proven benefit.
- Clinical visit frequency and duration are not definitively established, but ongoing assessment is generally supported.
- Alternative models like nurse-led or primary care-based follow-up demonstrate comparable clinical and quality-of-life outcomes with good patient satisfaction.
Conclusions:
- A one-size-fits-all approach to breast cancer follow-up is not effective.
- Individualized, tailored follow-up plans are recommended.
- Patients should make informed decisions based on evidence of benefits and risks.
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