美国临床肿瘤学会建议定期且全面的病史、体格检查，、乳房 X 线检查是乳腺癌长期监测的保证。[282]Khatcheressian JL, Hurley P, Bantug E, et al; American Society of Clinical Oncology. Breast cancer follow-up and management after primary treatment: American Society of Clinical Oncology clinical practice guideline update. J Clin Oncol. 2013;31:961-965.http://ascopubs.org/doi/full/10.1200/JCO.2012.45.9859http://www.ncbi.nlm.nih.gov/pubmed/23129741?tool=bestpractice.com对无症状孤立复发患者的早期检测可提高乳腺癌患者的生存期。[283]Lu WL, Jansen L, Post WJ, et al. Impact on survival of early detection of isolated breast recurrences after the primary treatment for breast cancer: a meta-analysis. Breast Cancer Res Treat. 2009;114:403-412.http://www.ncbi.nlm.nih.gov/pubmed/18421576?tool=bestpractice.com所有患者均应由在癌症监测和乳房检查方面经验丰富的医生进行详细的病史采集和体格检查。前 3 年的检查间隔应为 3~6 个月，第 4 年和第 5 年应为 6~12 个月，此后每年一次。[282]Khatcheressian JL, Hurley P, Bantug E, et al; American Society of Clinical Oncology. Breast cancer follow-up and management after primary treatment: American Society of Clinical Oncology clinical practice guideline update. J Clin Oncol. 2013;31:961-965.http://ascopubs.org/doi/full/10.1200/JCO.2012.45.9859http://www.ncbi.nlm.nih.gov/pubmed/23129741?tool=bestpractice.com
对于行保乳手术的患者应在初始乳房 X 射线检查 1 年后和放疗结束后至少 6 个月时进行术后乳房 X 射线检查。此后，除非临床提示，每年进行一次乳房 X 射线照片检查就足够了。[282]Khatcheressian JL, Hurley P, Bantug E, et al; American Society of Clinical Oncology. Breast cancer follow-up and management after primary treatment: American Society of Clinical Oncology clinical practice guideline update. J Clin Oncol. 2013;31:961-965.http://ascopubs.org/doi/full/10.1200/JCO.2012.45.9859http://www.ncbi.nlm.nih.gov/pubmed/23129741?tool=bestpractice.com [ 
]In women with early breast cancer, how do different types of follow-up strategy compare with each other for improving outcomes?http://cochraneclinicalanswers.com/doi/10.1002/cca.1432/full显示答案 除非临床提示，否则不建议使用其他实验室检查（包括肿瘤标记物）和进一步的身体影像学检查。
