What is the document that you have sent me Signs and Symptoms to report: with this leaflet? The following is a reminder of the signs and We have enclosed a copy of the patient symptoms to keep in mind when treating patients Trust Name treatment summary to inform you of the who have previously had breast cancer. These medication you will need to prescribe for your symptoms could indicate a return or spread of patient and the start and finish dates for this. the disease and need further investigation. A New Model of You can keep this for your records. Your patient patient Follow-Up also has this information. A lump or swelling in the breast, in the skin after a mastectomy, above the collar bone, in after Breast Cancer the neck, or under the arm What you need to do Any skin changes, red areas or raised spots Treatment on the breast or mastectomy scar Follow the attached endocrine options Nipple discharge treatment sheet to ensure your patient Development of lymphoedema continues with the correct medication SUPPORTED regime. Any new, persistent pain in any part of the body, especially in the back or hips, that If your patient requires bone density FOLLOW-UP does not improve with painkillers scan, please book these for them. The Unexplained weight loss and a loss of letter and treatment summary you appetite received with this leaflet will tell you if A constant feeling of nausea this is necessary. Information for GPs Discomfort or swelling under the ribs or Please encourage your patient to across the upper abdomen contact the Helpline if they xxxxxx, A dry cough or a feeling of breathlessness have any symptoms that could indicate Severe headaches usually worse in the a return of their cancer. – morning. Helpline: (xxxxxxxxxxx) Any abnormal neurology e.g. pins and needles and/or a loss of sensation or NB: If your patient experiences any of the weakness in the arms or legs might suggest following symptoms they should call the underlying spinal cord compression and Helpline XXXXXX or you can do so on their urgent referral to the metastatic spinal cord behalf. The helpline is monitored from Monday compression co-ordinator should be to Friday, 9am to 5pm. Patients will be called considered. back within timescale of leaving a message. TRUST ADDRESS Created: Review date:
What is the document that you have sent me with this leaflet? We have enclosed a copy of the patient treatment summary to inform you of the medication you will need to prescribe for your patient and the start and finish dates for this. You can keep this for your records. Your patient also has this information. What you need to do Follow the attached endocrine options treatment sheet to ensure your patient continues with the correct medication regime. If your patient requires bone density scan, please book these for them. The letter and treatment summary you received with this leaflet will tell you if this is necessary. Please encourage your patient to contact the Helpline xxxxxx, if they have any symptoms that could indicate a return of their cancer. NB: If your patient experiences any of the following symptoms they should call the Helpline XXXXXX or you can do so on their behalf. The helpline is monitored from Monday to Friday, 9am to 5pm. Patients will be called back within timescale of leaving a message. Signs and Symptoms to report: The following is a reminder of the signs and symptoms to keep in mind when treating patients who have previously had breast cancer. These symptoms could indicate a return or spread of the disease and need further investigation. A lump or swelling in the breast, in the skin after a mastectomy, above the collar bone, in the neck, or under the arm Any skin changes, red areas or raised spots on the breast or mastectomy scar Nipple discharge Development of lymphoedema Any new, persistent pain in any part of the body, especially in the back or hips, that does not improve with painkillers Unexplained weight loss and a loss of appetite A constant feeling of nausea Discomfort or swelling under the ribs or across the upper abdomen A dry cough or a feeling of breathlessness Severe headaches – usually worse in the morning. Any abnormal neurology e.g. pins and needles and/or a loss of sensation or weakness in the arms or legs might suggest underlying spinal cord compression and urgent referral to the metastatic spinal cord compression co-ordinator should be considered. Created: Review date: Trust Name A New Model of patient Follow-Up after Breast Cancer Treatment SUPPORTED FOLLOW-UP Information for GPs Helpline: (xxxxxxxxxxx) TRUST ADDRESS