Which organizations issued guidelines on follow-up care for breast cancer survivors?

Updated: Sep 23, 2020
  • Author: Pavani Chalasani, MD, MPH; Chief Editor: John V Kiluk, MD, FACS  more...
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The National Comprehensive Cancer Network (NCCN) [77]  and the American Cancer Society/American Society of Clinical Oncology (ACS/ASCO) [203]  have issued guidelines on followup care for breast cancer survivors. The guidelines differ principally in the timing of care. See the table below.

Table Follow-up Recommendations for Breast Cancer Survivors (Open Table in a new window)




History and physical examination

Year 1, every 3-4 mo

Year 2, every 4 mo

Year 3-5, every 6 mo

Year 6+, annually

Year 1-3, every 3-6 mo

Year 4-5, every 6-12 mo

Year 6+, annually

Signs of recurrance

No recommendation

Educated and counseled about signs and symptoms 


6 mo after post-BCS radiation therapy

Annually thereafter


MRI No recommendation

Not recommended for routine screening unless patient

meets high-risk criteria for increased surveillance

Pelvic examination

Annually, for women on tamoxifen

Annual exam if uterus present

No recommendation

Routine blood tests

Not recommended

Not recommended

Imaging studies

Not recommended

Not recommended

Tumor marker testing

Not recommended

No recommendation

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