We normally see our patients for a routine check-up at 4 to 6 weeks after completing treatment. In an effort to provide you with the most efficient care, routine follow-up with us will generally not be required after this visit. This is only provided that you see your other physicians regularly and contact us if you have any problems or concerns. We suggest that you continue to see your medical oncologist, surgeon and primary care physician on a regular basis. The following tests should be performed regularly:

1. Mammogram A baseline mammogram of the treated breast should be performed about six to nine months after completion of radiation therapy. This will allow time for healing and stabilization of the changes in the breast tissue from surgery and radiation. This usually coincides with the timing of your annual screening mammogram and both breasts could be imaged. This can be ordered by the physician who normally orders your mammograms. It is fine if one of your physicians wants to order a mammogram sooner. Just let the mammogram technician know you just finished radiation therapy. It is normal to have some breast tenderness for a few months after finishing treatment. Of note, it is not uncommon for the radiologist to recommend repeating the mammogram on the treated breast every six months for the first 2 years. We ask that you please forward a copy of all of your future mammogram results to us so we can continue to track your progress.
2. Physical exams and laboratory tests - Physical exams should be performed by your physicians regularly. You should have a clinical breast exam by a physician at least every six months for the first five years. Blood tests or other laboratory tests may also be ordered by your physicians. Please call us should you be informed of an abnormal exam or test result.
3. Self breast exam - Self breast exams should be performed monthly. Any changes should be reported to your physicians.

While severe side effects following external radiation treatment are quite uncommon, occasionally they can occur as late as 2 - 3 years AFTER completing treatment. It is very important that you notify your other physicians of your prior radiation treatment BEFORE you undergo any treatments or tests from them.