Lansac J, Diouf A
Département de gynécologie-obstétrique reproduction humaine et médecine foetale CHU Bretonneau, Tours.
Rev Prat. 1998 Jan 1;48(1):71-6.
The intensive follow up of breast cancer patients is not safer than a minimalist policy for breast cancer surveillance. The survival rate is not modified by the use of expensive exams. The follow up program is anxiogenous, delay the reinsertion of the patients and useless because in 75% of cases the patient herself discovered the relapse. A good clinical examination, including gynaecological examination and a mammography are sufficient for a good follow up practice. The guidelines for the follow up of breast cancer patients include self examination of the breast monthly, clinical examination twice a year and an annual mammography during five years and an annual clinical examination and a mammography after. The radiotherapist, the surgical or medical oncologist should be involved with the general practitioner for this follow up.
对乳腺癌患者进行强化随访并不比采用极简主义乳腺癌监测策略更安全。昂贵检查的使用并不会改变生存率。随访计划会引发焦虑，延迟患者重新融入社会，而且毫无用处，因为在75%的病例中，是患者自己发现了复发情况。一次全面的临床检查，包括妇科检查和乳房X光检查，就足以进行良好的随访实践。乳腺癌患者的随访指南包括每月进行乳房自我检查、每年进行两次临床检查、五年内每年进行一次乳房X光检查，之后每年进行一次临床检查和一次乳房X光检查。放射治疗师、外科或医学肿瘤学家应与全科医生共同参与此次随访。
