With 5-year survival rates after breast cancer therapy exceeding 90%, comprehensive follow-up care is a vital component of the treatment plan for patients who have completed active therapy. Although radiation oncologists are generally comfortable with management of the locoregional toxicities of breast cancer radiation therapy, many may be less familiar with the toxicities and available interventions associated with surgery, chemotherapy, and antihormone therapy. For radiation oncologists to provide the greatest value to their patients and play a meaningful role in patients with breast cancer follow-up care, multisystem assessment and management, beyond the breast/chest and axilla, is key.

This guide is intended as an educational and practical tool to assist any oncology caregiver with a thorough multisystem assessment and management of the most common survivorship issues for the treated breast cancer patient. Hyperlinks to published data supporting or summarizing the intervention are provided for further reading in the online version, along with sample “Follow-Up Note and After Visit Summary” templates.

乳腺癌治疗后的 5 年生存率超过 90%，全面的随访护理是完成积极治疗的患者治疗计划的重要组成部分。尽管放射肿瘤学家通常对乳腺癌放射治疗的局部毒性管理感到满意，但许多人可能不太熟悉与手术、化学疗法和抗激素治疗相关的毒性和可用干预措施。对于放射肿瘤学家来说，为他们的患者提供最大的价值并在乳腺癌患者的后续护理中发挥有意义的作用，超越乳房/胸部和腋窝的多系统评估和管理是关键。

本指南旨在作为一种教育和实用工具，帮助任何肿瘤护理人员对接受治疗的乳腺癌患者最常见的生存问题进行全面的多系统评估和管理。在线版本中提供了支持或总结干预的已发布数据的超链接，以供进一步阅读，以及示例“跟进说明和访问后总结”模板。