PAEA Surgery End Of Rotation (EOR) Practice Exam

How often should follow-up mammograms be conducted after a lumpectomy?

1. Every month for the first year

2. Bilateral mammogram 6 months after completing radiation therapy

3. Every 2 years indefinitely

4. Biannual mammogram after 1 year

The correct answer is: Bilateral mammogram 6 months after completing radiation therapy

After a lumpectomy, the standard follow-up protocol includes conducting a bilateral mammogram 6 months after completing radiation therapy. This is crucial for monitoring any changes in the breast tissue following both the surgical procedure and radiation treatment, which can alter the tissue structures and potentially mask recurrences or new developments. Mammograms are essential for post-operative surveillance as they help to identify any suspicious areas that may require further evaluation. The timing of 6 months post-radiation therapy allows for recovery from the treatment while providing a timely assessment of the surgical site and surrounding tissue. Early detection is key to managing any complications or recurrences effectively. Other options suggest different timing or frequency that do not align with the recommended guidelines for post-lumpectomy follow-up. For example, monthly follow-ups are excessive, and biennial screenings after the first year do not account for the critical early surveillance needed after completing treatment. Biannual mammograms designated after one year could lead to missed opportunities for identifying issues earlier. Therefore, the recommendation for a bilateral mammogram 6 months post-radiation is not only the best practice but also aligns with guidelines to optimize patient outcomes.