Patient initiated follow up after treatment ends

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Hi, 

I was diagnosed with TNBC in October 2024 after I found a lump that did not show up on mammograms.  I went through Chemo, surgery, radiotherapy and then another 6 months of Chemo and finished up in January this year. I was given the all clear at that point. 

The follow-up appointments are with the Breast Team (not oncology), and they seem keen to transition to "patient-initiated follow-up" rather than booking any further appointments.  They seem to feel that an annual mammogram is enough, and I can let them know if I spot anything "abnormal". I was VERY reluctant to agree to that last year, as I still have some pain and haven't really got the lymphoedema under control. But MOSTLY because if the mammograms didn't pick up the cancer last time (due to dense breasts), I don't feel confident leaving my only screening to another mammogram. 

They tried to placate me by saying my breasts would get less dense as I got older, so the mammograms would be more effective, but I am still very really uncomfortable about this.  Especially because it was TNBC, there is no ongoing medication to suppress recurrence. 

I have my 2-year follow-up appointment tomorrow, and I know they will likely pressure me to sign up for patient-initiated contact again.  

I know that I gained weight over the cancer treatment, and that is a recurrence risk factor, so I am paranoid that I am struggling to lose weight. 

AM I being over-cautious? Anyone else grappling with similar issues? TIA. 

  • Hi

    I did have  a different diagnosis from you, I was triple positive! But I am now on patient managed programme and will have yearly mammograms. I too found my lump but it was confirmed by mammogram, US and biopsies. I can’t really say if you are being over cautious but you know your own body, so trust your own judgement. I also gained weight through treatment, especially steroids! I did slimming world and it has worked for me, I have lost 21/2 stone . I am on letrozole, zometa infusions and nearly finished my Herceptin jabs as I was HER2 positive.

    Just tell them your concerns and don’t sign up to anything if you don’t believe it’s right for you.