Breast Cancer Recurrence After Surgery: What You Need to Know

Breast cancer may recur after surgery?

Description of the issue: My mother was diagnosed with stage 1 breast cancer three years ago and underwent surgery.
After the surgery, her health gradually stabilized, and her mood improved.
Seeing her happier made me feel more at ease as well.
However, recently, a neighbor of my mother, reportedly a school nurse, told her that after taking medication for five years post-surgery, she should be worried about the possibility of breast cancer recurrence once she stops the medication.
Since that day, my mother has been feeling down, not wanting to talk, and even with sleeping pills, she can't sleep at night.
Upon asking her, I found out that someone had shared this worry with her.
I am really saddened by this.
Doctor, is what that neighbor said true?

jane, 40~49 year old female. Ask Date: 2008/09/08

Dr. Chen Sirong reply Oncology

Jane heard rumors that it's definitely false; taking anti-hormonal medication for 5 years has the same recurrence risk as taking it for 10 years, so there's no need to continue taking it.
Continuing the medication won't reduce the chance of recurrence.
She's only in her third year and is already worrying about recurrence five years from now, as if her life is completely controlled by that little pill.
She doesn't seem to understand the importance of living in the moment.
I'm doing well right now; I have enough money to travel abroad.
Should I really be worried about recurrence until the day I die? What if I never have a recurrence? It would be pointless to worry.
Next time she sees her doctor, Dr.
Chen, she should ask him to explain this to her.

Reply Date: 2008/09/08

More Info

Understanding breast cancer recurrence after surgery is a complex and multifaceted issue that can understandably cause anxiety for both patients and their families. Your mother's situation, having been diagnosed with stage I breast cancer and undergoing surgery three years ago, is a significant milestone in her journey. It's great to hear that she has been feeling better and more stable, both physically and emotionally. However, the concerns raised by her neighbor can understandably lead to distress.

Firstly, it's important to clarify that the risk of breast cancer recurrence does exist, but it varies based on several factors, including the type of cancer, the stage at diagnosis, the treatment received, and individual patient characteristics. In general, stage I breast cancer has a relatively good prognosis, especially when treated appropriately. The five-year mark is often used as a benchmark in oncology to assess recurrence risk, but it is not a definitive cutoff. Many patients continue to be monitored beyond this period.

The neighbor's comment about stopping medication after five years is likely referring to hormone therapy, which is commonly prescribed for hormone receptor-positive breast cancer. This therapy can significantly reduce the risk of recurrence, and many oncologists recommend continuing it for five years. After this period, the decision to continue or discontinue medication should be made in consultation with her oncologist, considering her specific circumstances and any potential risks or benefits.

It's crucial to address your mother's emotional well-being. The fear of recurrence is common among cancer survivors, and it can manifest in various ways, including anxiety, depression, and sleep disturbances. Encouraging her to communicate openly about her feelings and fears can be beneficial. It might also be helpful for her to speak with a mental health professional who specializes in oncology, as they can provide coping strategies and support tailored to her situation.

In terms of practical steps, regular follow-ups with her healthcare team are essential. These appointments typically include physical examinations and imaging studies as needed, which can help monitor for any signs of recurrence. Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and avoiding smoking and excessive alcohol consumption, can also contribute to overall well-being and may help reduce the risk of recurrence.

Lastly, consider joining a support group for breast cancer survivors. These groups can provide a safe space for your mother to share her experiences and hear from others who have faced similar challenges. Knowing that she is not alone in her feelings can be incredibly comforting.

In summary, while the risk of breast cancer recurrence exists, it is influenced by many factors, and the five-year mark is just one aspect of a broader picture. Open communication with her healthcare team, emotional support, and a healthy lifestyle can all play significant roles in her ongoing recovery and peace of mind.

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