Confused- who is responsible for my long term care?

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fineprint
fineprint Member Posts: 2

I was diagnosed with dcis. Was under the care of surgical oncologist for 2 excisions. Surgical oncologist appears to take responsibility of advising further treatment (whether radiation and/or tamoxifen) and future care. But am confused. Assumed that surgeon's job was done after surgery. Who should be taking care long term of patients such as me? Thanks for any input.

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  • Moderators
    Moderators Member Posts: 25,912
    edited September 2014

    Hi fineprint,

    We'll be interested in hearing other members' experience with long-term, follow-up care, too, but we wanted to share with you this page from the main Breastcancer.org site, Follow-Up Care for DCIS, which gives you some insight about what to expect.

    We hope this helps!

    --The Mods

  • Annette47
    Annette47 Member Posts: 957
    edited September 2014

    It may depend on where you are, but for me, my surgical oncologist is head of my "team".   She is the one who orders mammograms and makes referrals to the radiation and medical oncologists.     I'm not sure how long I follow up with her, but it will be for at least 5 years if not longer.

  • lovestorun
    lovestorun Member Posts: 167
    edited September 2014

    Hi fineprint.  Welcome.  My path has been a little different.  I was treated by a team of medical professionals: radiologist for mammograms & biopsies,surgeon for lumpectomy and re-excision, radiation oncologist for radiation, and medical oncologist for Tamoxifen.   During treatment, they consulted each other about my case, but I never felt like one doc was 'in charge' - it really did feel like a team approach. 

    I also opted for genetic testing, so I met with a genetic counselor before my lumpectomy. 

    I still see all but the genetic counselor now. 

    After treatment, I was scheduled for mammograms every six months: the DCIS side + visit with the surgeon at one interval; both sides at the other interval.  I will drop down to both sides+ ultrasounds just once a year going forward.  I believe I will meet with the surgeon after imaging until I get to year 5.

    I also initially saw the radiation oncologist every six months, but I think that too will go down to annual. 

    I see the medical oncologist also every six months, and I think that 6-month schedule will hold, as they do bloodwork to make sure everything is okay and I am tolerating the Tamoxifen well. 

    My team likes to space their appointments out so that I'm seeing someone on  the team at intervals throughout the year (vs. all on the same day, for example). 

    Hope this is helpful. I hope too that your surgeries went well and that you are recovering nicely. Good luck with radiation. 

  • mrenee68
    mrenee68 Member Posts: 383
    edited September 2014

    My BS just released me from his care after 2 years, I go see my oncologist after the first of the year and see what she has to say. I was told to continue with my yearly mammogram and once a month self exam. Plus I need a clinic breast exam once a year by my PCP. Since I had reconstruction, my PS said I will see him once a year probably for the rest of my life.

  • TB90
    TB90 Member Posts: 992
    edited September 2014


    Six month post treatment, I will no longer be seen by anyone other than my family doctor.  Yearly mammograms and my RO is available to me without another referral.  It will be up to me to be seen as needed.  I had a mx with no reconstruction and am not taking any medication.  I was never so happy to be kicked out of CancerCare!

  • fineprint
    fineprint Member Posts: 2
    edited September 2014

    Thank you all for your valuable input and sharing your experiences. It does seem like in many cases, the surgeon is the one who continues to care for the patient - meaning followups, ordering mamos, general surveillance and management of the condition.

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