Follow up appointment in a year

I was diagnosed in July 2006 (WLE, SNB, radiotherapy & tamoxifen) Have had annual mammograms & mr scans due to family history, all of which have been clear until this year. Diagnosed for second time in Feb this year. Have had mastectomy this time, SNB again & back on tamoxifen. I saw consultant two weeks post surgery & now don’t have any follow ups till next year when they said I will have a mammogram. I can’t help feeling completely abandoned & that I should have sone kind of check up before then. Any advice?

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Hi chuzzy,

Thanks for your post.

It’s understandable that you are feeling worried and abandoned following your breast cancer treatment.

Nearly everyone who has been treated for cancer worries about it coming back (recurrence) and you’re not alone in being anxious about this. The uncertainty and fear of breast cancer returning is very real. At first, every ache or pain may frighten you, but most people find the anxiety lessens as the time goes on.

Many hospitals offer open access or patient-initiated follow-up. You should have been given information to help you manage your health after treatment, along with details of who to contact if you have any concerns or symptoms to report. The recommendations from NICE are to have a follow up mammogram yearly for 5 years on the remaining breast. You won’t usually have other routine scans and tests unless you report any symptoms that need checking. Several large studies have shown having regular scans when there are no symptoms is not useful in finding recurrence and doesn’t improve overall survival.

If you haven’t already, you could speak to your breast care nurse about how you are feeling. Some people may benefit from talking therapy, such as counselling, to explore ways of managing these worries and concerns. You can speak to your treatment team or GP about this. Some people find mindfulness can also be helpful.

Many people are surprised at how emotional they feel when their treatment finishes. Adapting to life after treatment can be difficult and often the need for information and support continues. You may be interested in our resources that are particularly for those who have come to the end of their hospital-based treatment. These are known as our Moving forward services and include our Moving Forward book and Moving Forward courses.

Talking to someone who has had a similar experience can often be helpful. Our Someone Like Me service can match you with a trained volunteer who’s had a similar experience to you. You can be in touch with your volunteer by phone or email and they can share their personal experiences to answer your questions, offer support or simply listen to how you are feeling.

Do call our helpline if you would like to talk this through or have any further questions. The helpline team have time to listen, talk things through and signpost you to additional support and information if necessary. Your call will be confidential, and the number is free from UK landlines and all mobile networks.

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Best wishes

Katie

Breast Care Nurse

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