Breast Cancer One Year Follow-Up

Ms. Taylor was seen today regarding surgical follow-up for breast cancer. She had surgery. Since I saw her last, she has had treatment as follows:

Objective:
On examination today, there is no mention of hair thinning, constipation, or feeling unusually cold being absent.

Investigations:
Laboratory investigations performed include thyroid stimulating hormone, which is elevated at 7.8, free thyroxine, which is low-normal, and anti-thyroid peroxidase antibodies, which are positive. A vitamin D panel was also performed, revealing mild deficiency.

Assessment and Plan:
Assessment/Plan:
I have explained to the patient that we typically discharge patients from the Regional Breast Center after their one-year follow-up visit for breast cancer due to the limitations of the hospital clinic space. We have recommended that she get her routine follow-up with, but I would be happy to see her again at your request if there are changes or concerns.

In terms of longer-term follow-up, I would recommend:
- Monthly breast self-examination.
- Six-monthly examination with her family physician for the first 5 years and annually after that (for physical examination of the breast, chest wall, and axilla bilaterally).
- Annual mammograms unless she has had a bilateral mastectomy. Mammograms should be performed in a consistent location to facilitate comparison.

Note:
This dictation was created with voice recognition software and circulated immediately to facilitate care. If there are more than minor errors, please inform the author.