nach oben

Current Breast Cancer Reports

Erschienen in:

01.09.2014 | Psycho-Oncology and Supportive Care (P Butow, Section Editor)

Follow-up of Women with Early Stage Breast Cancer

verfasst von: Michael Jefford, G. Bruce Mann, Linda Nolte, Lahiru Russell, Meagan Brennan

Erschienen in: Current Breast Cancer Reports | Ausgabe 3/2014

Einloggen, um Zugang zu erhalten

Abstract

Worldwide, there are over 6 million women with a personal history of breast cancer. Survivors may experience a range of issues as a consequence of treatment for breast cancer, including physical, emotional and psychological, and practical issues. In addition, cancer diagnosis and treatments impact on relationships, caregivers, and family members. Current follow-up care is often inadequate as women may not have the broad range of consequences adequately managed. Together with looming shortages within the health workforce, these issues present major challenges to the delivery of ideal care for survivors. This article reviews issues that may be encountered by survivors, preferences indicated by survivors and professionals regarding follow-up, and considers a broad range of models that have been examined. These models include follow-up by general practitioners (primary care physicians), nurse-led, and patient-initiated reviews. Follow-up need not be face to face or routinely scheduled. Comprehensive rehabilitation programs as well as exercise and dietary interventions may result in health benefits for breast cancer survivors.

World Health Organization. http://www.who.int/cancer/detection/breastcancer/en/index1.html. Accessed March, 2014.

Coleman MP, Quaresma M, Berrino F, Lutz JM, De Angelis R, Capocaccia R, et al. Cancer survival in five continents: a worldwide population-based study (CONCORD). Lancet Oncol. 2008;9:730–56.PubMedCrossRef

GLOBOCAN (International Agency for Research on Cancer). http://globocan.iarc.fr/Default.aspx. Accessed March 2014.

Center for Workforce Studies. Forecasting the Supply of and Demand for Oncologists: a report to the American Society of Clinical Oncology (ASCO) from the AAMC Center for Workforce Studies. 2007.

5.•

Brennan ME, Houssami N. Overview of long-term care of breast cancer survivors. Maturitas. 2011;69:106–12. A recent review, focusing on the medical aspects of care of survivors.PubMedCrossRef

6.•

Taggart F, Donnelly P, Dunn J. Options for early breast cancer follow-up in primary and secondary care—a systematic review. BMC Cancer. 2012;12:238. A review of evidence regarding investigations and models of care.PubMedCentralPubMedCrossRef

Khatcheressian JL, Hurley P, Bantug E, Esserman LJ, Grunfeld E, Halberg F, et al. Breast cancer follow-up and management after primary treatment: American Society of Clinical Oncology clinical practice guideline update. J Clin Oncol. 2013;31:961–5.PubMedCrossRef

Rojas MP, Telaro E, Russo A, Moschetti I, Coe L, Fossati R, et al. Follow-up strategies for women treated for early breast cancer. Cochrane Database Syst Rev. 2005;CD001768.

Tian Y, Schofield PE, Gough K, Mann GB. Profile and predictors of long-term morbidity in breast cancer survivors. Ann Surg Oncol. 2013;20:3453–60.PubMedCrossRef

10.

Ooi GC, Kwong DL, Ho JC, Lock DT, Chan FL, Lam WK, et al. Pulmonary sequelae of treatment for breast cancer: a prospective study. Int J Radiat Oncol Biol Phys. 2001;50:411–9.PubMedCrossRef

11.

D’Angelo SP, Antonescu CR, Kuk D, Qin L, Moraco N, Carvajal RC, et al. High-risk features in radiation-associated breast angiosarcomas. Br J Cancer. 2013;109:2340–6.PubMedCrossRef

12.

Kirova YM. Recent advances in breast cancer radiotherapy: evolution or revolution, or how to decrease cardiac toxicity? World J Radiol. 2010;2:103–8.PubMedCentralPubMedCrossRef

13.

Griffin AM, Butow PN, Coates AS, Childs AM, Ellis PM, Dunn SM, et al. On the receiving end. V: patient perceptions of the side effects of cancer chemotherapy in 1993. Ann Oncol. 1996;7:189–95.PubMedCrossRef

14.

Hutchinson AD, Hosking JR, Kichenadasse G, Mattiske JK, Wilson C. Objective and subjective cognitive impairment following chemotherapy for cancer: a systematic review. Cancer Treat Rev. 2012;38:926–34.PubMedCrossRef

15.

Mann GB, Kang YC, Brand C, Ebeling PR, Miller JA. Secondary causes of low bone mass in patients with breast cancer: a need for greater vigilance. J Clin Oncol. 2009;27:3605–10.PubMedCrossRef

16.

Stafford L, Judd F, Gibson P, Komiti A, Mann GB, Quinn M. Screening for depression and anxiety in women with breast and gynaecologic cancer: course and prevalence of morbidity over 12 months. Psychooncology. 2013;22:2071–8.PubMedCrossRef

17.•

Hsu T, Ennis M, Hood N, Graham M, Goodwin PJ. Quality of life in long-term breast cancer survivors. J Clin Oncol. 2013;31:3540–8. Useful assessment of long-term quality of life in breast cancer survivors, acknowledging relatively low response rate.PubMedCrossRef

18.•

Koch L, Jansen L, Herrmann A, Stegmaier C, Holleczek B, Singer S, et al. Quality of life in long-term breast cancer survivors—a 10-year longitudinal population-based study. Acta Oncol. 2013;52:1119–28. Useful assessment of long-term quality of life in breast cancer survivors, acknowledging relatively low response rate.PubMedCrossRef

19.

Ganz PA, Kwan L, Stanton AL, Bower JE, Belin TR. Physical and psychosocial recovery in the year after primary treatment of breast cancer. J Clin Oncol. 2011;29:1101–9.PubMedCentralPubMedCrossRef

20.

Ganz PA, Desmond KA, Leedham B, Rowland JH, Meyerowitz BE, Belin TR. Quality of life in long-term, disease-free survivors of breast cancer: a follow-up study. J Natl Cancer Inst. 2002;94:39–49.PubMedCrossRef

21.

Emery JD, Shaw K, Williams B, Mazza D, Fallon-Ferguson J, Varlow M, et al. The role of primary care in early detection and follow-up of cancer. Nat Rev Clin Oncol. 2014;11:38–48.PubMedCrossRef

22.

Frew G, Smith A, Zutshi B, Young N, Aggarwal A, Jones P, et al. Results of a quantitative survey to explore both perceptions of the purposes of follow-up and preferences for methods of follow-up delivery among service users, primary care practitioners and specialist clinicians after cancer treatment. Clin Oncol. 2010;22:874–84.CrossRef

23.

Lewis RA, Neal RD, Hendry M, France B, Williams NH, Russell D, et al. Patients’ and healthcare professionals’ views of cancer follow-up: systematic review. Br J Gen Pract. 2009;59:e248–59.PubMedCentralPubMedCrossRef

24.

Lewis RA, Neal RD, Williams NH, France B, Hendry M, Russell D, et al. Follow-up of cancer in primary care vs secondary care: systematic review. Br J Gen Pract. 2009;59:e234–47.PubMedCentralPubMedCrossRef

25.

Brennan ME, Butow P, Marven M, Spillane AJ, Boyle FM. Survivorship care after breast cancer treatment—experiences and preferences of Australian women. Breast. 2011;20:271–7.PubMedCrossRef

26.

Mayer EL, Gropper AB, Neville BA, Partridge AH, Cameron DB, Winer EP, et al. Breast cancer survivors’ perceptions of survivorship care options. J Clin Oncol. 2012;30:158–63.PubMedCrossRef

27.

Urquhart R, Folkes A, Babineau J, Grunfeld E. Views of breast and colorectal cancer survivors on their routine follow-up care. Curr Oncol. 2012;19:294–301.PubMedCentralPubMed

28.

Bessen T, Chen G, Street J, Eliott J, Karnon J, Keefe D, et al. What sort of follow-up services would Australian breast cancer survivors prefer if we could no longer offer long-term specialist-based care? A discrete choice experiment. Br J Cancer. 2014;110:859–67.PubMedCrossRef

29.

Cheung WY, Aziz N, Noone AM, Rowland JH, Potosky AL, Ayanian JZ, et al. Physician preferences and attitudes regarding different models of cancer survivorship care: a comparison of primary care providers and oncologists. J Cancer Surviv. 2013;7:343–54.PubMedCrossRef

30.

Brennan ME, Butow P, Spillane AJ, Boyle FM. Survivorship care after breast cancer: follow-up practices of Australian health professionals and attitudes to a survivorship care plan. Asia Pac J Clin Oncol. 2010;6:116–25.PubMedCrossRef

31.

Greenfield DM, Absolom K, Eiser C, Walters SJ, Michel G, Hancock BW, et al. Follow-up care for cancer survivors: the views of clinicians. Br J Cancer. 2009;101:568–74.PubMedCentralPubMedCrossRef

32.

Virgo KS, Lerro CC, Klabunde CN, Earle C, Ganz PA. Barriers to breast and colorectal cancer survivorship care: perceptions of primary care physicians and medical oncologists in the United States. J Clin Oncol. 2013;31:2322–36.PubMedCentralPubMedCrossRef

33.•

Earle CC, Ganz PA. Cancer survivorship care: don’t let the perfect be the enemy of the good. J Clin Oncol. 2012;30:3764–8. Pragmatic commentary piece examining barriers to ideal care but also arguing that much can be done despite these challenges.PubMedCrossRef

34.

Brennan M, Butow P, Spillane AJ, Marven M, Boyle FM. Follow-up after breast cancer—views of Australian women. Aust Fam Physician. 2011;40:311–6.PubMed

35.

Hewitt M, Greenfield W, Stovall E, editors. From cancer patient to cancer survivor: lost in transition. Washington: The National Academies Press; 2005.

36.

Oeffinger KC, McCabe MS. Models for delivering survivorship care. J Clin Oncol. 2006;24:5117–24.PubMedCrossRef

37.•

Jefford M, Rowland J, Grunfeld E, Richards M, Maher J, Glaser A. Implementing improved post-treatment care for cancer survivors in England, with reflections from Australia, Canada and the USA. Br J Cancer. 2013;108:14–20. A review of England’s National Cancer Survivorship Initiative, examining principles of care and challenges to implementing new models of care.PubMedCentralPubMedCrossRef

38.•

Watson EK, Rose PW, Neal RD, Hulbert-Williams N, Donnelly P, Hubbard G, et al. Personalised cancer follow-up: risk stratification, needs assessment or both? Br J Cancer. 2012;106:1–5. Discusses the importance of incorporating risk stratification and individual patient needs when planning individual care and service delivery.PubMedCentralPubMedCrossRef

39.

Ganz PA, Yip CH, Gralow JR, Distelhorst SR, Albain KS, Andersen BL, et al. Supportive care after curative treatment for breast cancer (survivorship care): resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement. Breast. 2013;22:606–15.PubMedCrossRef

40.

Montgomery DA, Krupa K, Cooke TG. Alternative methods of follow-up in breast cancer: a systematic review of the literature. Br J Cancer. 2007;96:1625–32.PubMedCentralPubMedCrossRef

41.

Grunfeld E, Mant D, Yudkin P, Adewuyi-Dalton R, Cole D, Stewart J, et al. Routine follow-up of breast cancer in primary care: randomized trial. BMJ. 1996;313:665–9.PubMedCentralPubMedCrossRef

42.

Grunfeld E, Fitzpatrick R, Mant D, Yudkin P, Adewuyi-Dalton R, Stewart J, et al. Comparison of breast cancer patient satisfaction with follow-up in primary care vs specialist care: results from a randomized controlled trial. Br J Gen Pract. 1999;49:705–10.PubMedCentralPubMed

43.

Grunfeld E, Gray A, Mant D, Yudkin P, Adewuyi-Dalton R, Coyle D, et al. Follow-up of breast cancer in primary care vs specialist care: results of an economic evaluation. Br J Cancer. 1999;79:1227–33.PubMedCentralPubMedCrossRef

44.

Grunfeld E, Levine MN, Julian JA, Coyle D, Szechtman B, Mirsky D, et al. Randomized trial of long-term follow-up for early-stage breast cancer: a comparison of family physician vs specialist care. J Clin Oncol. 2006;24:848–55.PubMedCrossRef

45.

Snyder CF, Frick KD, Peairs KS, Kantsiper ME, Herbert RJ, Blackford AL, et al. Comparing care for breast cancer survivors to non-cancer controls: a five-year longitudinal study. J Gen Intern Med. 2009;24:469–74.PubMedCentralPubMedCrossRef

46.

Grunfeld E, Hodgson DC, Del Giudice ME, Moineddin R. Population-based longitudinal study of follow-up care for breast cancer survivors. J Oncol Pract. 2010;6:174–81.PubMedCentralPubMedCrossRef

47.

Earle CC, Burstein HJ, Winer EP, Weeks JC. Quality of non-breast cancer health maintenance among elderly breast cancer survivors. J Clin Oncol. 2003;21:1447–51.PubMedCrossRef

48.

Earle CC, Neville BA. Under use of necessary care among cancer survivors. Cancer. 2004;101:1712–9.PubMedCrossRef

49.

Lewis R, Neal RD, Williams NH, France B, Wilkinson C, Hendry M, et al. Nurse-led vs. conventional physician-led follow-up for patients with cancer: systematic review. J Adv Nurs. 2009;65:706–23.PubMedCrossRef

50.

Beaver K, Tysver-Robinson D, Campbell M, Twomey M, Williamson S, Hindley A, et al. Comparing hospital and telephone follow-up after treatment for breast cancer: randomized equivalence trial. BMJ. 2009;338:a3147.PubMedCentralPubMedCrossRef

51.

Beaver K, Williamson S, Chalmers K. Telephone follow-up after treatment for breast cancer: views and experiences of patients and specialist breast care nurses. J Clin Nurs. 2010;19:2916–24.PubMedCrossRef

52.

Koinberg IL, Fridlund B, Engholm GB, Holmberg L. Nurse-led follow-up on demand or by a physician after breast cancer surgery: a randomized study. Eur J Oncol Nurs. 2004;8:109–17. discussion 18–20.PubMedCrossRef

53.

Sheppard C, Higgins B, Wise M, Yiangou C, Dubois D, Kilburn S. Breast cancer follow-up: a randomized controlled trial comparing point of need access vs routine 6-monthly clinical review. Eur J Oncol Nurs. 2009;13:2–8.PubMedCrossRef

54.

Kimman ML, Dirksen CD, Voogd AC, Falger P, Gijsen BC, Thuring M, et al. Nurse-led telephone follow-up and an educational group programme after breast cancer treatment: results of a 2 × 2 randomized controlled trial. Eur J Cancer. 2011;47:1027–36.PubMedCrossRef

55.

Kimman ML, Bloebaum MM, Dirksen CD, Houben RM, Lambin P, Boersma LJ. Patient satisfaction with nurse-led telephone follow-up after curative treatment for breast cancer. BMC Cancer. 2010;10:174.PubMedCentralPubMedCrossRef

56.

Brown L, Payne S, Royle G. Patient initiated follow-up of breast cancer. Psychooncology. 2002;11:346–55.PubMedCrossRef

57.

Chapman D, Cox E, Britton PD, Wishart GC. Patient-led breast cancer follow-up. Breast. 2009;18:100–2.PubMedCrossRef

58.

Foster C, Fenlon D. Recovery and self-management support following primary cancer treatment. Br J Cancer. 2011;105 Suppl 1:S21–8.PubMedCentralPubMedCrossRef

59.

Lorig KR, Ritter P, Stewart AL, Sobel DS, Brown Jr BW, Bandura A, et al. Chronic disease self-management program: 2-year health status and health care utilization outcomes. Med Care. 2001;39:1217–23.PubMedCrossRef

60.

Lorig KR, Hurwicz ML, Sobel D, Hobbs M, Ritter PL. A national dissemination of an evidence-based self-management program: a process evaluation study. Patient Educ Couns. 2005;59:69–79.PubMedCrossRef

61.

Gulliford T, Opomu M, Wilson E, Hanham I, Epstein R. Popularity of less frequent follow-up for breast cancer in randomized study: initial findings from the hotline study. BMJ. 1997;314:174–7.PubMedCentralPubMedCrossRef

62.

Montgomery DA, Krupa K, Wilson C, Cooke TG. Automated telephone follow-up after breast cancer: an acceptability and feasibility pilot study. Br J Cancer. 2008;99:704–10.PubMedCentralPubMedCrossRef

63.

Forsythe LP, Parry C, Alfano CM, Kent EE, Leach CR, Haggstrom DA, et al. Use of survivorship care plans in the United States: associations with survivorship care. J Natl Cancer Inst. 2013;105:1579–87.PubMedCrossRef

64.

Nissen MJ, Tsai ML, Blaes AH, Swenson KK, Koering S. Effectiveness of treatment summaries in increasing breast and colorectal cancer survivors’ knowledge about their diagnosis and treatment. J Cancer Surviv. 2013;7:211–8.PubMedCrossRef

65.

Salz T, Oeffinger KC, McCabe MS, Layne TM, Bach PB. Survivorship care plans in research and practice. CA Cancer J Clin. 2012. doi:10.3322/caac.20142.

66.

Kantsiper M, McDonald EL, Geller G, Shockney L, Snyder C, Wolff AC. Transitioning to breast cancer survivorship: perspectives of patients, cancer specialists, and primary care providers. J Gen Intern Med. 2009;24 Suppl 2:S459–66.PubMedCrossRef

67.

Burg MA, Lopez ED, Dailey A, Keller ME, Prendergast B. The potential of survivorship care plans in primary care follow-up of minority breast cancer patients. J Gen Intern Med. 2009;24 Suppl 2:S467–71.PubMedCrossRef

68.•

Grunfeld E, Julian JA, Pond G, Maunsell E, Coyle D, Folkes A, et al. Evaluating survivorship care plans: results of a randomized, clinical trial of patients with breast cancer. J Clin Oncol. 2011;29:4755–62. To date, the only published randomized controlled trial evaluating the impact of survivorship care plans.PubMedCrossRef

69.

Jefford M, Schofield P, Emery J. Improving survivorship care. J Clin Oncol. 2012;30:1391–2. author reply 3–4.PubMedCrossRef

70.

Coyle D, Grunfeld E, Coyle K, Pond G, Julian JA, Levine MN. Cost effectiveness of a survivorship care plan for breast cancer survivors. J Oncol Pract. 2014;10:e86–92.PubMedCrossRef

71.

Stricker CT, Jacobs LA, Risendal B, Jones A, Panzer S, Ganz PA, et al. Survivorship care planning after the institute of medicine recommendations: how are we faring? J Cancer Surviv. 2011;5:358–70.PubMedCrossRef

72.

Dulko D, Pace CM, Dittus KL, Sprague BL, Pollack LA, Hawkins NA, et al. Barriers and facilitators to implementing cancer survivorship care plans. Oncol Nurs Forum. 2013;40:575–80.PubMedCrossRef

73.•

Parry C, Kent EE, Forsythe LP, Alfano CM, Rowland JH. Can’t see the forest for the care plan: a call to revisit the context of care planning. J Clin Oncol. 2013;31:2651–3. A commentary piece discussing the place of survivorship care plans in improving post-treatment survivorship care.PubMedCentralPubMedCrossRef

74.•

Khan F, Amatya B, Ng L, Demetrios M, Zhang NY, Turner-Stokes L. Multidisciplinary rehabilitation for follow-up of women treated for breast cancer. Cochrane Database Syst Rev. 2012;12, CD009553. Cochrane review assessing the impact of rehabilitation for breast cancer survivors; also highlighting gaps in research design.PubMed

75.

Fong DY, Ho JW, Hui BP, Lee AM, Macfarlane DJ, Leung SS, et al. Physical activity for cancer survivors: meta-analysis of randomized controlled trials. BMJ. 2012;344:e70.PubMedCentralPubMedCrossRef

76.

Hayes SC, Johansson K, Alfano CM, Schmitz K. Exercise for breast cancer survivors: bridging the gap between evidence and practice. Transl Behav Med. 2011;1:539–44.PubMedCentralPubMedCrossRef

77.

Kuijpers W, Groen WG, Aaronson NK, van Harten WH. A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: relevance for cancer survivors. J Med Internet Res. 2013;15:e37.PubMedCentralPubMedCrossRef

78.

Johansson K, Hayes S, Speck RM, Schmitz KH. Water-based exercise for patients with chronic arm lymphedema: a randomized controlled pilot trial. Am J Phys Med Rehabil. 2013;92:312–9.PubMedCrossRef

79.

Khan F, Amatya B, Pallant JF, Rajapaksa I, Brand C. Multidisciplinary rehabilitation in women following breast cancer treatment: a randomized controlled trial. J Rehabil Med. 2012;44:788–94.PubMedCrossRef

80.

Chlebowski RT, Blackburn GL, Thomson CA, Nixon DW, Shapiro A, Hoy MK, et al. Dietary fat reduction and breast cancer outcome: interim efficacy results from the Women’s Intervention Nutrition Study. J Natl Cancer Inst. 2006;98:1767–76.PubMedCrossRef

81.

Pierce JP, Natarajan L, Caan BJ, Parker BA, Greenberg ER, Flatt SW, et al. Influence of a diet very high in vegetables, fruit, and fiber and low in fat on prognosis following treatment for breast cancer: the Women’s Healthy Eating and Living (WHEL) randomized trial. JAMA. 2007;298:289–98.PubMedCentralPubMedCrossRef

82.

Pierce JP. Diet and breast cancer prognosis: making sense of the Women’s Healthy Eating and Living and Women’s Intervention Nutrition Study trials. Curr Opin Obstet Gynecol. 2009;21:86–91.PubMedCentralPubMedCrossRef

83.

Gold EB, Pierce JP, Natarajan L, Stefanick ML, Laughlin GA, Caan BJ, et al. Dietary pattern influences breast cancer prognosis in women without hot flashes: the women’s healthy eating and living trial. J Clin Oncol. 2009;27:352–9.PubMedCentralPubMedCrossRef

84.

Simard S, Savard J, Ivers H. Fear of cancer recurrence: specific profiles and nature of intrusive thoughts. J Cancer Surviv. 2010;4:361–71.PubMedCrossRef

85.

Herschbach P, Book K, Dinkel A, Berg P, Waadt S, Duran G, et al. Evaluation of two group therapies to reduce fear of progression in cancer patients. Support Care Cancer. 2010;18:471–9.PubMedCrossRef

86.

Sabariego C, Brach M, Herschbach P, Berg P, Stucki G. Cost-effectiveness of cognitive-behavioral group therapy for dysfunctional fear of progression in cancer patients. Eur J Health Econ. 2011;12:489–97.PubMedCrossRef

87.

Cherrier MM, Anderson K, David D, Higano CS, Gray H, Church A, et al. A randomized trial of cognitive rehabilitation in cancer survivors. Life Sci. 2013;93:617–22.PubMedCrossRef

88.

Von Ah D, Carpenter JS, Saykin A, Monahan P, Wu J, Yu M, et al. Advanced cognitive training for breast cancer survivors: a randomized controlled trial. Breast Cancer Res Treat. 2012;135:799–809.CrossRef

89.

Kesler S, Hadi Hosseini SM, Heckler C, Janelsins M, Palesh O, Mustian K, et al. Cognitive training for improving executive function in chemotherapy-treated breast cancer survivors. Clin Breast Cancer. 2013;13:299–306.PubMedCentralPubMedCrossRef

90.

Hoffman CJ, Ersser SJ, Hopkinson JB, Nicholls PG, Harrington JE, Thomas PW. Effectiveness of mindfulness-based stress reduction in mood, breast- and endocrine-related quality of life, and well-being in stage 0 to III breast cancer: a randomized, controlled trial. J Clin Oncol. 2012;30:1335–42.PubMedCrossRef

91.

Wurtzen H, Dalton SO, Elsass P, Sumbundu AD, Steding-Jensen M, Karlsen RV, et al. Mindfulness significantly reduces self-reported levels of anxiety and depression: results of a randomized controlled trial among 336 Danish women treated for stage I-III breast cancer. Eur J Cancer. 2013;49:1365–73.PubMedCrossRef

92.

Zainal NZ, Booth S, Huppert FA. The efficacy of mindfulness-based stress reduction on mental health of breast cancer patients: a meta-analysis. Psychooncology. 2013;22:1457–65.PubMedCrossRef

Titel: Follow-up of Women with Early Stage Breast Cancer
verfasst von: Michael Jefford
G. Bruce Mann
Linda Nolte
Lahiru Russell
Meagan Brennan
Publikationsdatum: 01.09.2014
Verlag: Springer US
Erschienen in: Current Breast Cancer Reports / Ausgabe 3/2014
Print ISSN: 1943-4588
Elektronische ISSN: 1943-4596
DOI: https://doi.org/10.1007/s12609-014-0150-3

Neu im Fachgebiet Onkologie

19.04.2024 | EAU 2024 | Kongressbericht | Nachrichten

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Follow-up of Women with Early Stage Breast Cancer

Abstract

Neu im Fachgebiet Onkologie

Prostatakarzinom: EU initiiert neues Screeningkonzept

Blasenkarzinom – Biomarker statt Zytologie?

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Adjuvante Brustkrebstherapie: Doppelt hält besser

Update Onkologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2014

Molecular Heterogeneity of Triple-Negative Breast Cancer

New Therapeutic Approaches for Invasive Lobular Carcinoma

The Evolving Role of Circulating Tumor Cells in the Personalized Management of Breast Cancer: From Enumeration to Molecular Characterization

Information Needs of Older Women Faced with a Choice of Primary Endocrine Therapy or Surgery for Early-Stage Breast Cancer: A Literature Review

Screening for Distress in Breast Cancer

Physical Activity After Breast Cancer: Effect on Survival and Patient-Reported Outcomes

Neu im Fachgebiet Onkologie

Prostatakarzinom: EU initiiert neues Screeningkonzept

Blasenkarzinom – Biomarker statt Zytologie?

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Adjuvante Brustkrebstherapie: Doppelt hält besser

Update Onkologie