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Surgery General ed5e1979

A 36 years old patient underwent breast conservation therapy and chemotherapy for a 1.5 x 1.2 cm ER positive breast cancer with one positive axillary lymph node. She is now on tamoxifen. How will you follow-up the patient?

A
Annual bone scan
B
Assessment of tumor markers 6 monthly
C
Routine clinical examination 3 monthly in 1st year with annual mammogram
D
Routine clinical examination 3 monthly and 6 monthly liver function tests
High-Yield Explanation
Answer- C. Routine clinical examination 3 monthly in 1st year with annual mammogramBreast cancer follow-up should be done with history & physical examination Every 3 to 6 months for the first 3 years, every 6 to 12 months,4 and 5 years, annually thereafter; Mammography annually, beginning no earlier than 6 months after radiation therapy. There is currently no routine role for repeated measurements of tumour markers or imaging other than mammography.

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