Breast cancerRefer

Women's health · OPD · Locked · first month free

By Dr Javed Akhtar · Last reviewed 2 October 2026

Drugs on this card

Tamoxifen (hormone-positive, premenopausal — started by oncology), Letrozole (hormone-positive, postmenopausal — started by oncology), Calcium + Vitamin D3 (on letrozole)

Advice and when to refer

Triple assessment: Examination + mammogram/ultrasound + core biopsy, within 2 wk (NICE NG12 2026; NICE NG101 2025)
Follow-up: Yearly mammogram; examination every 3–6 months for 2–3 y; heart check after trastuzumab or anthracyclines (NICE NG101 2025; NCCN 2026)

Investigations

First visit

Triple assessment — Clinical examination, imaging (mammogram/USG) and core-needle biopsy at a breast clinic.

Only if indicated

CBC, LFT, ALP, calcium — Staging.
Chest X-ray / CT, bone scan — Locally advanced disease or symptoms.
Receptor status (ER/PR/HER2) on biopsy — Decides treatment.
BRCA testing — Young onset or strong family history.

Follow-up and monitoring

Yearly mammogram — After treatment.

Locked

The adult dose for each drug
Indian brand names for each drug, with a link to buy

Open Breast cancer in OPD

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