Survivorship
What is Breast Cancer Survivorship?
Breast cancer survivorship begins the moment you complete treatment and continues throughout your life. Survivorship is about adjusting to life after cancer, including managing physical health, mental well-being, and the emotions of recovery. Many breast cancer survivors live long, healthy lives with regular follow-up care and healthy lifestyle practices.
Understanding Follow-Up Care
Regular follow-up care is essential for monitoring your health, managing any lingering side effects, and detecting any potential recurrence early. Follow-up care often includes:
Physical Exams – Usually every 3-6 months for the first few years, then less frequently over time.
Mammograms and Imaging Tests – Annual mammograms are recommended if you have remaining breast tissue. In some cases, your doctor may suggest additional imaging, like CT or MRI, based on your personal risk.
Blood Tests or Other Screenings – Occasionally ordered if symptoms or lab results require further investigation.
Your doctor will create a personalized follow-up care plan to address your individual needs.
Common Physical Side Effects in Survivorship
Some breast cancer survivors experience ongoing side effects or late effects that appear months or years after treatment ends:
Lymphoedema – Swelling in the arm or chest, usually due to lymph node removal or radiation therapy. Early treatment, including compression garments and physical therapy, can help manage symptoms.
Fatigue – Cancer-related fatigue can be persistent, even long after treatment ends. Light exercise, rest, and balanced nutrition can help manage energy levels.
Bone Health – Some breast cancer treatments can weaken bones. Calcium, vitamin D, weight-bearing exercises, and medications can help protect bone density.
Heart Health – Certain treatments, particularly some chemotherapy drugs and radiation, can affect heart health. Regular checkups and a heart-healthy lifestyle are essential.
Cognitive Changes – Sometimes referred to as “chemo brain,” cognitive changes may include memory lapses, difficulty concentrating, and mental fogginess. Strategies like brain exercises, planning tools, and mindfulness can aid mental clarity.
Emotional Well-being and Mental Health
The emotional journey doesn’t end when treatment does. Survivors often experience a range of emotions, from relief to anxiety about recurrence:
Post-Treatment Anxiety – Fear of cancer returning is normal. Strategies like mindfulness, relaxation exercises, and counseling can help manage these feelings.
Depression or Anxiety – Talking to a mental health professional or joining a support group can be beneficial. Many survivors find solace in connecting with others who’ve had similar experiences.
Body Image and Self-Esteem – Physical changes from treatment can impact self-esteem. Support groups and counseling, as well as connecting with a body-positive community, can be helpful.
Tips for a Healthy Lifestyle Post-Treatment
A healthy lifestyle is important for everyone, but particularly for breast cancer survivors. Making positive lifestyle choices can improve your quality of life and overall health:
Balanced Nutrition – Eating a diet rich in vegetables, fruits, lean proteins, and whole grains provides essential nutrients that aid in recovery and maintain energy levels.
Regular Physical Activity – Aim for at least 150 minutes of moderate exercise each week, or as recommended by your healthcare team. Exercise can improve mood, energy, and bone health.
Healthy Weight Management – Maintaining a healthy weight may lower the risk of recurrence. Talk to your healthcare provider for support and resources if you need assistance with weight management.
Limit Alcohol – Excessive alcohol consumption has been
Staying Informed and Involved in Your Health
Being proactive about your health can make a big difference. This includes staying informed about your health history, asking questions, and communicating openly with your healthcare team. Some helpful practices include:
Maintaining a Health Record – Keep copies of your treatment records, pathology reports, and test results for future reference.
Communicating Any Symptoms – Report new or unusual symptoms to your doctor, including lumps, pain, or fatigue.
Continuing Health Screenings – Regular screenings for other cancers and health conditions are essential to maintain overall health.
Questions for Your Healthcare Provider
How often should I schedule follow-up appointments, and what will they include?
Are there specific symptoms or side effects I should monitor?
What steps can I take to reduce my risk of recurrence?
Support and Resources for Breast Cancer Survivors
Support networks can be a great source of comfort and strength after treatment. Many resources are available to support you:
Support Groups – Many organisations offer support groups for breast cancer survivors. These groups can connect you with others who understand what you’re going through.
Cancer Foundations and Resources – Organisations like the Breast Cancer Network Australia and the Cancer Council provide educational materials, financial assistance, and other resources.
Counselling and Therapy – Talking with a mental health professional can provide tools for managing emotions, stress, and life changes.
Remember: Breast cancer survivorship is a unique journey that combines ongoing care, lifestyle adjustments, and emotional support. Your healthcare team is here to support you through each step, and many resources are available to help you lead a full, healthy life beyond breast cancer.