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Re: Annual GYN exams for breast cancer survivorsFrom: Kelly (anonymous@obgyn.net)Tue, 8 Apr 1997 12:00:11 -0500 (CDT)
At Tue, 8 Apr 1997, Renee wrote: > >I was diagnosed with breast cancer and had a mastectomy in 1992. Since >then, two different GYNs, whom I have visited for initial routine annual >exams, have only done a pelvic exam on me. Neither one did a breast >exam, and neither one ask me when I had last had a breast exam. ..... What is the reason >that a GYN would omit the breast exam on a breast cancer survivor, and >how common is this practice? > >-- >Renee Kaplan >kaplan@ionet.net > Renee I cannot explain why your gynecologists would omit a breast exam. I do breast exams on all my patients and believe it is even more important in someone who has had a previous breast cancer. If there is not a breast to examine (i.e., after a mastectomy), I do a chest wall exam and palpate both axillary and supraclavicular lymph nodes. My nurse or I check on when the last mammogram was performed as well. The only time I might not do a breast exam would be if the woman told me she had just been to her breast surgeon or oncologist and had just had a thorough exam. If you go to another doctor who does not perform a breast exam, ask why not -- and find a doctor who will give you the comprehensive care you deserve.
-- Kelly Shanahan, MD S. Lake Tahoe, CA
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