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Warning-sign checks

Breast cancer: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency care for severe trouble breathing, chest pain, coughing up blood, fainting, uncontrolled bleeding, or sudden weakness, facial drooping, confusion, or difficulty speaking.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact the oncology team promptly about fever during chemotherapy, rapidly worsening swelling or redness, a painful swollen arm, uncontrolled vomiting, or side effects that make it difficult to drink or take medicines.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up care checks for recurrence, manages treatment effects, and supports general health.

    The schedule depends on the cancer and treatment received.

    For many people treated for early-stage breast cancer, follow-up includes symptom review, physical examination, and mammography of remaining breast tissue.

    Routine CT scans, PET scans, bone scans, or blood tumor-marker tests are generally not used when there are no symptoms or examination findings suggesting recurrence.

    Follow-up also includes routine primary care.

    Vaccinations, bone health, heart health, physical activity, and screening for other cancers remain important.

    Ask which clinician will manage each part of care.

    And for anyone, someone who:

    • has noticed a lump, a mole that has changed, or unexplained weight loss

The article also says

Keep an updated treatment summary and list of medicines.

Tell the care team about new breast or chest-wall changes, a persistent new lump, unexplained bone pain, ongoing cough, unusual shortness of breath, severe headaches, weakness, or unexplained weight loss.

These symptoms often have causes other than cancer, but they deserve assessment.

Every sign above is quoted from the sofidex article on Breast cancer. If you are not sure, err upward — it is always reasonable to be checked.