Why Fear of Recurrence Happens

There are several issues that could impact your fears of cancer recurrence.

Personality, Lifestyle and Social Support

Many factors influence your fears of cancer coming back. These factors may include:

  • your personal coping style
  • situations impacting your life now (marriage, kids, work, etc.)
  • past mental healthinfo-icon
  • whether you feel you have a support system to fall back on
  • whether you have family members or friends who had cancer recurrences

You may struggle to talk about your fears of recurrenceinfo-icon with loved ones. Often they want to focus on the fact that you are done with treatment and feeling better. They want to believe you are physically and emotionally well.

Because your loved ones don’t see you going to many medical appointments anymore, they may forget you’re still struggling. Those close to you may not know that you feel your support has disappeared. Share your thoughts and concerns with them.

Your History and Diagnosis

You may worry about recurrenceinfo-icon even more if you have a family history of breast cancer or because of the type or aggressiveness of the cancer.

Although it’s never possible to predict the exact risk of the cancer coming back, you may have been given statistics about your risks. If you know you have a breast cancer geneinfo-icon mutationinfo-icon or you were treated for a more advanced or aggressiveinfo-icon breast cancer, you may be especially frightened. Remember that statistics are based on large populations of people, but you are just one person. The statistics you find won’t always be true for each person.

Ongoing Hormonal or Targeted Therapy

Taking a daily hormonal or targeted therapy may make you feel more secure that you’re doing everything possible to protect your health. But taking them also may remind you of your diagnosisinfo-icon. Plus, these medicines may cause uncomfortable side effects that interfere with the quality of your life.

You should keep taking these medicines according to your doctor’s instructions, but don’t be afraid to talk about the side effects. Your doctor can help you find ways to manage them or may even be able to switch your medicineinfo-icon.

Genetics and Family History

Some factors suggest there may be a geneticinfo-icon link to breast cancer, such as

If you have these or other indicators of genetic risk, you may manage your fears by going through genetic testing and taking steps to protect your health.

If the genetic test results show you have a mutationinfo-icon in certain breast cancer-realted genes, you could worry about the increased risk for developing breast cancer again or developing another type of cancer.

Studies show that people diagnosed with breast cancer and who carry a BRCA geneinfo-icon mutation don’t have a higher risk of the original cancer coming back than those who don’t have the mutation. You do have a higher risk, though, of developing a second primary breast cancer, a new breast cancer unrelated to your first diagnosisinfo-icon, than women who do not have this type of genetic risk. Your doctor and genetic counselor can help you choose the best ways for you to lower your risk of developing a new cancer.

November 5, 2019