Reaching remission is a significant achievement, but staying proactive with follow-ups and a healthy lifestyle is crucial. Here are some key tips for your journey.

Reaching remission is an important milestone, and knowing how to navigate this phase is essential for maintaining your health.

Let’s explore the different types of remission as well as tips for effectively managing this stage.

There are two primary types of cancer remission: complete remission and partial remission.

Complete remission

Complete remission occurs when all signs and symptoms of cancer disappear. This means that no detectable cancer cells remain in the body based on physical exams, imaging tests, or lab results.

Although complete remission indicates a strong response to treatment, it doesn’t guarantee that the cancer is completely gone and cannot return, so regular follow-ups are essential to monitor for any recurrence.

Partial remission

Partial Remission occurs when the size or number of cancer cells significantly reduces, but some evidence of the disease remains.

This indicates that the treatment is effective, but further treatment may be necessary to achieve complete remission or to control the disease.

In breast cancer, remission is typically considered when there are no signs of cancer detectable in the body following treatment.

The criteria for remission involve several factors:

  • Clinical evaluation: Regular physical exams by a healthcare professional to check for any signs or symptoms of cancer.
  • Imaging tests: These may include mammograms, MRIs, CT scans, or other imaging techniques to ensure there are no detectable tumors or abnormal growths.
  • Blood tests: Tests like tumor markers (e.g., CA 15-3 and CA 27-29) can be used to monitor for signs of cancer recurrence.
  • Biopsies: In some cases, biopsies of suspicious areas may be necessary to confirm the absence of cancer cells.

A person is generally considered in remission if these tests show no evidence of disease (NED) over a specific period.

Several factors influence breast cancer remission, including:

  • Stage and grade of cancer: Early-stage cancers and lower-grade tumors are generally more responsive to treatment.
  • Type of breast cancer: Hormone receptor-positive, HER2-positive, and triple-negative breast cancers respond differently to various treatments.
  • Treatment plan: The effectiveness of surgery, chemotherapy, radiation therapy, targeted therapy, and hormone therapy plays a crucial role.
  • Patient’s health: Overall health, including immune function and comorbidities, can affect treatment response and recovery.
  • Genetics: Genetic mutations (e.g., BRCA1/BRCA2) can influence cancer behavior and response to treatment.
  • Adherence to treatment: Consistently following the prescribed treatment plan and attending follow-up appointments are critical for remission.
  • Lifestyle factors: Diet, exercise, and avoiding risk factors such as smoking and excessive alcohol consumption can impact remission outcomes.

Monitoring yourself during breast cancer remission involves regular medical check-ups and personal vigilance:

  • Schedule follow-up visits with your doctor and attend all recommended imaging tests, like mammograms or MRIs.
  • Perform regular breast self-exams to detect any new lumps, changes, or unusual symptoms.
  • Report persistent fatigue, unexplained weight loss, or any concerning changes to your doctor promptly.
  • Keep detailed records of your appointments, test results, medications, and symptoms.

Managing your health during cancer remission is crucial to maintaining your well-being and detecting any signs of recurrence early.

Here are some essential tips to help you manage your remission effectively:

  • Stay informed: Educate yourself about your type of cancer and remission management.
  • Follow medical advice: Attend all scheduled follow-up appointments and imaging tests.
  • Healthy lifestyle: Maintain a balanced diet, exercise regularly, and get adequate sleep.
  • Monitor symptoms: Perform regular self-exams and report any unusual changes to your doctor.
  • Manage stress: Practice stress-reducing activities like yoga, meditation, or hobbies you enjoy.
  • Support system: Stay connected with friends, family, or support groups.
  • Medication adherence: Take prescribed medications consistently and discuss any side effects with your doctor.
  • Limit risk factors: Avoid smoking, limit alcohol intake, and reduce exposure to known carcinogens.

Medical management

  • Ongoing treatment: Follow your doctor’s recommendations for any continued therapies like hormone treatment. Keep up with regular imaging tests, such as mammograms or MRIs, and attend all scheduled oncology check-ups.
  • Stay alert for recurrence risks: Research shows that cancer cells can lie dormant for a long time before becoming active again, so ongoing monitoring is key to catching any recurrence early and managing it effectively.
  • Address fatigue: Consult with your doctor about treatments for chronic fatigue. Depending on the underlying cause, these may include medications such as stimulants, antidepressants, or therapies designed to manage persistent tiredness.
  • Manage cognitive issues: Seek medical evaluation for cognitive challenges. Cognitive rehabilitation therapies or specific medications might be recommended to enhance focus and memory.

Lifestyle management

Lifestyle changes, such as regular physical activity and a balanced diet, are extremely helpful for breast cancer survivors. They can improve overall health, reduce the risk of cancer recurrence, and enhance survival outcomes.

Here are some lifestyle management tips for cancer survivors:

  • Nutrition: Eat a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. Focus on foods that are high in antioxidants and low in processed sugars and unhealthy fats.
  • Stress management: Practice stress-reduction techniques like meditation, deep breathing exercises, or mindfulness. Engaging in hobbies, spending time with loved ones, and setting aside time for relaxation can also help manage stress.
  • Exercise: Incorporate regular physical activity into your routine, such as walking, swimming, or yoga. Aim for at least 150 minutes of moderate exercise per week, as it can improve energy levels, reduce fatigue, and enhance overall well-being.

A study published in 2020 highlights that exercise significantly benefits breast cancer survivors, particularly those with high risk cancer. Women who engaged in regular physical activity before diagnosis and after treatment were less likely to experience cancer recurrence or die compared to those who were inactive.

In fact, meeting or exceeding physical activity guidelines both before diagnosis and at the 2-year follow-up led to a 55% reduction in cancer recurrence risk and a 68% reduction in overall mortality risk. Even starting exercise later, after diagnosis, still provided substantial benefits.

Emotional and psychological support

Navigating life after breast cancer involves addressing not only your physical health but also your emotional and psychological well-being. You might find yourself dealing with a range of feelings, including fear of recurrence, anxiety, and depression, all of which can impact your quality of life.

Here are some ways you can address these emotions:

  • Counseling and therapy: Consider seeking professional counseling or psychotherapy, such as cognitive-behavioral therapy (CBT), to help manage anxiety and develop coping strategies.
  • Support groups: Joining support groups can connect you with others who understand what you’re going through and provide mutual support and encouragement.
  • Mindfulness and stress-reduction techniques: Engaging in practices like meditation, yoga, and deep breathing exercises can help you manage stress and build emotional resilience.
  • Education and information: Gaining a clear understanding of your personal risk factors for recurrence can help you feel more in control and reduce anxiety.

Navigating breast cancer remission involves regular medical follow-ups, lifestyle changes, and emotional support. Keep up with your check-ups and screenings to monitor your health and detect any recurrence early.

By staying proactive and using available resources, you can confidently manage your remission and continue to heal and thrive.