{"id":171228,"date":"2025-10-17T16:50:20","date_gmt":"2025-10-17T22:50:20","guid":{"rendered":"https:\/\/tecscience.tec.mx\/en\/?post_type=sciencecommunication&#038;p=171228"},"modified":"2025-10-20T16:51:42","modified_gmt":"2025-10-20T22:51:42","slug":"post-breast-cancer-care","status":"publish","type":"sciencecommunication","link":"https:\/\/tecscience.tec.mx\/en\/science-communication\/post-breast-cancer-care\/","title":{"rendered":"After Breast Cancer: Don\u2019t Let Your Guard Down"},"content":{"rendered":"\n<p><em>By&nbsp;<a href=\"https:\/\/scholar.google.com\/citations?user=DTVvMbIAAAAJ&amp;hl=es\" target=\"_blank\" rel=\"noreferrer noopener\">Fernanda Mesa Ch\u00e1vez<\/a>, Misael Salazar Alejo and <a href=\"https:\/\/www.tecsalud.mx\/directorio-medico\/dra-cynthia-villarreal-garza\" target=\"_blank\" rel=\"noreferrer noopener\">Cynthia Villarreal Garza<\/a><\/em><\/p>\n\n\n\n<p>Breast cancer typically develops from a mix of genetic, hormonal, and environmental factors. Because other cancers share these same risk factors, people who have had breast cancer are at higher risk of developing a second type of cancer after their initial diagnosis. [1-4]<\/p>\n\n\n\n<p>For this reason, survivors must undergo <strong>regular screenings<\/strong>. These tests can detect cancers early, when treatment is more likely to be successful.<\/p>\n\n\n\n<p>Screening strategies currently exist for <strong>cervical, colorectal, and lung cancers<\/strong>, which are among the most common types both in the general population and in breast cancer survivors.<\/p>\n\n\n\n<p>According to the <strong><a href=\"https:\/\/www.cancer.org\/es.html\" target=\"_blank\" rel=\"noreferrer noopener\">American Cancer Society <\/a>(ACS)<\/strong> and the<a href=\"https:\/\/www.asco.org\/\" target=\"_blank\" rel=\"noreferrer noopener\"> <strong>American Society of Clinical Oncology<\/strong><\/a><strong> (ASCO)<\/strong>, survivors should follow the same screening recommendations as the general population [5-8]:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Cervical cancer:<\/strong> Women aged 25 to 65 should have an HPV test every 5 years or a Pap smear every 3 years.<\/li>\n\n\n\n<li><strong>Colorectal cancer:<\/strong> Adults 50 to 75 can choose one of the following: an annual fecal occult blood test, a flexible sigmoidoscopy (exam of the rectum and part of the colon) every 5 years, a CT colonography every 5 years, or a colonoscopy every 10 years.<\/li>\n\n\n\n<li><strong>Lung cancer:<\/strong> Adults 50 and older who have smoked at least one pack per day for 20 years or more should get a low-dose CT scan every year.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><strong>Screening in Breast Cancer Survivors<\/strong><\/strong><\/h2>\n\n\n\n<p>A study in Mexico, <em><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39542813\/\" target=\"_blank\" rel=\"noreferrer noopener\">Screening Adherence for Second Primary Malignancies in Breast Cancer Survivors: Behaviors, Facilitators, and Barriers to Enhance Quality Care<\/a>,<\/em> examined how well breast cancer survivors follow recommended screenings for cervical, colorectal, and lung cancers.<\/p>\n\n\n\n<p>The goal was to identify barriers and facilitators to completing these tests. Published in <em>Seminars in Oncology<\/em>, the study surveyed breast cancer survivors online. [9]<\/p>\n\n\n\n<p>Results showed that <strong>74%<\/strong> of participants were up to date with cervical cancer screenings, exceeding the <strong>70% target set by the World Health Organization (WHO)<\/strong>. [10] In contrast, only <strong>29%<\/strong> had completed recommended colorectal cancer screenings\u2014far below the <strong>80% goal set by the National Colorectal Cancer Roundtable<\/strong>. [11]<\/p>\n\n\n\n<p>For lung cancer, none of the survivors met the criteria for low-dose CT screening.<\/p>\n\n\n\n<p>The main reason for skipping screenings was a <strong>lack of medical recommendation<\/strong>. Other factors included fear, anxiety, and lack of interest.<\/p>\n\n\n\n<p>Most participants (<strong>96%<\/strong>) were aware that breast cancer survivors can develop other types of cancer. However, gaps in knowledge remain: <strong>69% believed routine tests like X-rays and blood work could detect any cancer<\/strong>, and <strong>9% thought additional screenings weren\u2019t necessary if they were receiving regular breast cancer checkups<\/strong>.<\/p>\n\n\n\n<p>Despite these misconceptions, attitudes toward screening were largely positive: nearly all participants (<strong>96%<\/strong>) said they would undergo the tests if recommended by their doctor, recognizing the benefits for themselves and their families.<\/p>\n\n\n\n<p>These findings underscore the <strong>critical role of oncology specialists<\/strong> in promoting adherence to cancer screenings\u2014by educating patients, addressing fears, and ensuring that survivors complete recommended tests.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">References<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Mellemkj\u00e6r L, Friis S, Olsen JH, et al. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16342146\/\" target=\"_blank\" rel=\"noreferrer noopener\">Risk of second cancer among women with breast cancer.<\/a> Int J Cancer 2006;118(9):2285\u201392.&nbsp;<\/li>\n\n\n\n<li>Matesich MA, Shapiro CL. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14663775\/\" target=\"_blank\" rel=\"noreferrer noopener\">Second cancers after breast cancer treatment<\/a>. Semin Oncol 2003;30(6):740\u20138.<\/li>\n\n\n\n<li>Molina-Montes E, Poll\u00e1n M, Payer T, et al. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23648471\/\" target=\"_blank\" rel=\"noreferrer noopener\">Risk of second primary cancer among women with breast cancer: a population-based study in Granada (Spain)<\/a>. Gynecol Oncol 2013;130(2):340\u20135.<\/li>\n\n\n\n<li>Dong C, Hemminki K. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11410860\/\" target=\"_blank\" rel=\"noreferrer noopener\">Second primary neoplasms in 633,964 cancer patients in Sweden<\/a>, 1958-1996. Int J Cancer 2001;93:155\u201361.<\/li>\n\n\n\n<li>Runowicz CD, Leach CR, Henry NL, et al. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26644543\/\" target=\"_blank\" rel=\"noreferrer noopener\">American cancer society\/American society of clinical oncology breast cancer survivorship care guideline<\/a>. J Clin Oncol 2016;66(1):43\u201373.<\/li>\n\n\n\n<li>Fontham ETH, Wolf AMD, Church TR, et al. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32729638\/\" target=\"_blank\" rel=\"noreferrer noopener\">Cervical cancer screening for individuals at average risk: 2020 guideline update from the American Cancer Society<\/a>. CA Cancer J Clin 2020;70:321\u201346.<\/li>\n\n\n\n<li>Wolf AMD, Fontham ETH, Church TR, et al. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29846947\/\" target=\"_blank\" rel=\"noreferrer noopener\">Colorectal cancer screening for average-risk adults: 2018 guideline update from the American Cancer Society<\/a>. CA Cancer J Clin 2018;68:250\u201381.<\/li>\n\n\n\n<li>Wolf AMD, Oeffinger KC, Shih TYC, et al. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37909877\/\" target=\"_blank\" rel=\"noreferrer noopener\">Screening for lung cancer: 2023 guideline update from the American Cancer Society<\/a>. CA Cancer J Clin 2024;74:50\u201381.<\/li>\n\n\n\n<li>Mesa-Chavez F, Salazar-Alejo M, Villarreal-Garza C. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39542813\/\" target=\"_blank\" rel=\"noreferrer noopener\">Screening Adherence for Second Primary Malignancies in Breast Cancer Survivors: Behaviors, Facilitators, and Barriers to Enhance Quality Care<\/a>. Semin Oncol 2024;51(5-6):156\u2013160.<\/li>\n\n\n\n<li>Organization World Health. <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240014107\" target=\"_blank\" rel=\"noreferrer noopener\">Global strategy to accelerate the elimination of cervical cancer as a public health problem<\/a>. World Health Organization 2020;21(8):1447\u201351.<\/li>\n\n\n\n<li>Wender R, Brooks D, Sharpe K, Doroshenk M. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32439084\/\" target=\"_blank\" rel=\"noreferrer noopener\">The National colorectal cancer roundtable: past performance, current and future goals<\/a>. Gastrointestinal Endoscopy Clin N Am 2020;30:499\u2013509 Preprint at.<\/li>\n<\/ol>\n\n\n\n<p class=\"has-white-color has-text-color has-link-color wp-elements-7e4ac651328708ea719ac0894fa30934\">.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Authors<\/h4>\n\n\n\n<p><strong>Fernanda Mesa Ch\u00e1vez<\/strong> \u2013 Coordinator of the Oncology Research Group at the<a href=\"https:\/\/www.tecsalud.mx\/cancer-de-mama\" target=\"_blank\" rel=\"noreferrer noopener\"> TecSalud Breast Cancer Center<\/a>. As an author for TecScience, she has <a href=\"https:\/\/tecscience.tec.mx\/en\/science-communication\/genetic-counseling-for-breast-cancer\/\" target=\"_blank\" rel=\"noreferrer noopener\">published her findings aimed at improving care and well-being for patients<\/a> diagnosed with breast cancer.<\/p>\n\n\n\n<p><strong>Misael Salazar Alejo<\/strong> \u2013 Clinical Researcher at the TecSalud Breast Cancer Center.<\/p>\n\n\n\n<p><strong>Cynthia Villarreal Garza<\/strong> \u2013 Director of the <a href=\"https:\/\/content.tecsalud.mx\/oncologia\" target=\"_blank\" rel=\"noreferrer noopener\">TecSalud Institute of Oncology<\/a> and professor at Tecnol\u00f3gico de Monterrey. She founded and leads <em>Joven &amp; Fuerte: Program for the Care and Research of Young Women with Breast Cancer<\/em> and is a founding partner of the nonprofit organization <em>Doctors and Researchers in the Fight Against Breast Cancer<\/em>. She is also a <a href=\"https:\/\/tecscience.tec.mx\/en\/science-communication\/bone-health-and-cancer\/\" target=\"_blank\" rel=\"noreferrer noopener\">science communicator and contributor <\/a>to this portal.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lack of medical guidance, fear, anxiety, and disinterest can prevent patients from completing post-cancer follow-up exams.<\/p>\n","protected":false},"author":18,"featured_media":171229,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"_acf_changed":false,"_eb_attr":"","footnotes":""},"categories":[86],"tags":[224,138],"class_list":["post-171228","sciencecommunication","type-sciencecommunication","status-publish","format-standard","has-post-thumbnail","hentry","category-health","tag-health","tag-school-of-medicine-and-health-sciences"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.0 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Medical Follow-Up After Breast Cancer | TecScience<\/title>\n<meta name=\"description\" content=\"Lack of medical guidance, fear, anxiety, and disinterest can prevent patients from completing post-cancer follow-up exams.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/tecscience.tec.mx\/en\/science-communication\/post-breast-cancer-care\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"After Breast Cancer: Don\u2019t Let Your Guard Down\" \/>\n<meta property=\"og:description\" content=\"Lack of medical guidance, fear, anxiety, and disinterest can prevent patients from completing post-cancer follow-up exams.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/tecscience.tec.mx\/en\/science-communication\/post-breast-cancer-care\/\" \/>\n<meta property=\"og:site_name\" content=\"TecScience\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-20T22:51:42+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2025\/10\/post-breast-cancer-care.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"750\" \/>\n\t<meta property=\"og:image:height\" content=\"500\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/science-communication\\\/post-breast-cancer-care\\\/\",\"url\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/science-communication\\\/post-breast-cancer-care\\\/\",\"name\":\"Medical Follow-Up After Breast Cancer | TecScience\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/science-communication\\\/post-breast-cancer-care\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/science-communication\\\/post-breast-cancer-care\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/wp-content\\\/uploads\\\/sites\\\/9\\\/2025\\\/10\\\/post-breast-cancer-care.jpg\",\"datePublished\":\"2025-10-17T22:50:20+00:00\",\"dateModified\":\"2025-10-20T22:51:42+00:00\",\"description\":\"Lack of medical guidance, fear, anxiety, and disinterest can prevent patients from completing post-cancer follow-up exams.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/science-communication\\\/post-breast-cancer-care\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/science-communication\\\/post-breast-cancer-care\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/science-communication\\\/post-breast-cancer-care\\\/#primaryimage\",\"url\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/wp-content\\\/uploads\\\/sites\\\/9\\\/2025\\\/10\\\/post-breast-cancer-care.jpg\",\"contentUrl\":\"https:\\\/\\\/tecscience.tec.mx\\\/en\\\/wp-content\\\/uploads\\\/sites\\\/9\\\/2025\\\/10\\\/post-breast-cancer-care.jpg\",\"width\":750,\"height\":500,\"caption\":\"Preventing and detecting other types of cancer\u2014such as cervical, colorectal, and lung cancer\u2014requires breast cancer survivors to undergo regular checkups. 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