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J R Soc Med 1985;78:920-921
© 1985 Royal Society of Medicine

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Journal of the Royal Society of Medicine, Vol 78, Issue 11 920-921, Copyright © 1985 by Royal Society of Medicine

ORIGINAL ARTICLES

Is follow up of patients after surgery for breast cancer worthwhile?

MC Ormiston, AG Timoney and AR Qureshi

The effectiveness of routine outpatient follow up in detecting recurrent disease after 'curative' surgery for breast cancer has been evaluated in a retrospective study of 148 patients. In all, 32 patients developed recurrent cancer. In 3 cases, asymptomatic disease was discovered by routine X-rays. In 25 cases, the patient noticed local disease or complained of symptoms due to distant spread, and over half of these returned to the clinic before the next routine appointment. In only 4 cases was routine examination by a doctor solely responsible for the discovery of recurrent disease. It is concluded that routine follow up made little contribution to the welfare of these patients.
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