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Topic: Post chemo monitoring scans

Forum: HER2+ (Positive) Breast Cancer —

Testing, treatment, side effects, and more.

Posted on: Aug 6, 2021 10:14AM

Imani wrote:

Did your hospital do any scans on you after toy were done with treatment?

My hospital will only do physical exams and do scans only if there are symptoms .

Curious to know what monitoring you are getting



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Sep 23, 2021 09:05PM Maskwearer72 wrote:

Same here. I really struggled with that at first, but I've come to understand the reasoning. I was told that a local recurrence is going to be detected via a physical exam, either by your OB or oncologist (or finding something yourself). Scans are intended to pick up mets, but my MO told me that there is no science pointing to a difference in treatment plans or outcomes when mets are detected on scans vs. physical symptoms. Plus, the scans themselves can be carcinogenic, they are stressful, expensive, etc. so there are many downsides to annual scans.

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Sep 23, 2021 10:46PM moth wrote:

ASCO has survivorship guidelines

"Recommendation 1.3: It is recommended that primary care clinicians should not offer routine laboratory tests or imaging, except mammography if indicated, for the detection of disease recurrence in the absence of symptoms (LOE = 2A)."

https://acsjournals.onlinelibrary.wiley.com/doi/fu...

table 1

I take weekends off

Initial dx at 50. Seriously?? “Sometimes the future changes quickly and completely and we’re left with only the choice of what to do next." blog: Never Tell Me the Odds

Dx 12/2017, IDC, Left, 1cm, Stage IA, Grade 3, 0/5 nodes, ER-/PR-, HER2- (IHC) Surgery 12/12/2017 Lumpectomy: Left; Lymph node removal: Sentinel Chemotherapy 2/14/2018 AC + T (Taxol) Radiation Therapy 8/13/2018 Whole-breast: Breast Dx 2/2020, IDC, Stage IV, metastasized to liver/lungs, Grade 3, ER-/PR-, HER2- Chemotherapy 3/18/2020 Taxol (paclitaxel) Immunotherapy 3/19/2020 Tecentriq (atezolizumab) Chemotherapy 11/26/2020 Abraxane (albumin-bound or nab-paclitaxel) Dx 12/9/2020, IDC, Right, Stage IV, metastasized to lungs, Grade 3, ER+/PR-, HER2- (IHC) Radiation Therapy 12/9/2020 External Hormonal Therapy 12/16/2020 Femara (letrozole) Dx 1/28/2021, IDC, Left, Stage IV, metastasized to bone Radiation Therapy 3/3/2021 External: Bone

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