[Evaluation and performance of the follow-up in treated cancer of the breast].

Follow-up of breast cancer is not always the same. On the basis of a retrospective study on 92 patients who presented with a progressive disease, the authors assess the effectiveness of complementary examinations and propose a follow-up protocol: clinical, laboratory tests, consisting of ESR, gamma GT, alkaline phosphatases, CA 15.3 every six months (or even every 4 months for CA 15.3) and radiological follow-up consisting of mammography and chest X-ray every year. Other examinations may also be prescribed if any change is detected by any of the tests listed above. The authors consider that this approach constitutes a balance between the minimalist and maximalist attitudes, and one which corresponds to the physician's duty to his patient.