Abstract PS1-05-30: Oncological Check-Up Is It Worth Investing Time and Money?

Abstract Relevance: Breast cancer is one of the most common forms of oncological diseases in women. Effective treatment and monitoring of patients with this diagnosis play a key role in increasing survival rates and improving quality of life. One important aspect of the treatment strategy for patients with breast cancer is dynamic observation. What is an Oncological Check-Up?It is a system of regular medical examinations and investigations aimed at monitoring the patient's condition after primary cancer treatment. The goals of such monitoring are:1. Early Detection of Recurrences: Regular examinations help identify the recurrence of the disease at early stages.2. Assessment of Treatment Side Effects: Monitoring allows for the evaluation of the impact of the conducted therapy on the patient's overall health.3. Treatment Adjustment: If necessary, the physician can adjust the treatment plan based on the monitoring data. The frequency of check-ups should be tailored according to the individual needs of the patient and current clinical guidelines. Methods of Investigation: In our department, prior to conducting a check-up, an initial consultation is held to develop a monitoring strategy for the patient. The attending physician determines the appropriate scope of investigations based on the complaints present at the time of consultation, medical history, subtype of the disease, and previously conducted investigations. Patient monitoring primarily follows the recommendations of the Clinical Society of Oncologists of Russia, but also includes non-standard protocols, such as consultations with lymphologists, neurologists, rehabilitation specialists, and other related specialists. Results: In our surgical department, 312 patients underwent check-ups over the year. Among these, 57 patients had identified lymphatic system disorders during the lymphological examination, which included (external examination, palpation, anthropometric data collection, measurement taking, and ICG lymphography as indicated) that required further diagnostics and treatment for upper limb lymphedema. Symptoms of peripheral polyneuropathy were identified in 28 patients, based on subjective methods of investigation (collection of complaints and medical history, presence of previous chemotherapy with taxanes, neurological examination, and ENMG). Progression of the primary disease with subsequent therapy change was detected in 17 patients. Conclusions: Monitoring of patients includes not only the recommendations of the Clinical Society of Oncologists but also consultations with related specialists such as lymphologists, rehabilitation specialists, and neurologists, which allows for more effective management of patients' health status. Dynamic observation of patients with breast cancer is critically important for the early detection of recurrences, assessment of side effects, and treatment adjustment. The results of the conducted check-ups underscore the necessity of regular monitoring through a multidisciplinary approach in managing the health status of patients. Citation Format: M. I. Mukueva. Oncological Check-Up Is It Worth Investing Time and Money? abstract. In: Proceedings of the San Antonio Breast Cancer Symposium 2025; 2025 Dec 9-12; San Antonio, TX. Philadelphia (PA): AACR; Clin Cancer Res 2026;32(4 Suppl):Abstract nr PS1-05-30.