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This course aims to support healthcare practitioners in recognising the symptoms of breast cancer recurrence and improve confidence in decision-making regarding referral back to breast cancer services.

Learning Objectives

On completion of this course you will:

  • Increase awareness of symptoms of breast cancer recurrence – local, regional and secondary
  • Understand different patterns of recurrence in different tumour types
  • Increase confidence in decision-making about referring suspected recurrence of breast cancer
  • Explore ways in which psychological support can be offered to patients fearing a recurrence


The key elements of the course are:

  • Facts and figures
  • Introduction to breast cancer recurrence
  • Types of recurrence
  • Bone metastases
  • Lung metastases
  • Liver metastases
  • Brain metastases
  • Supporting patients with recurrence
  • Summary


There will be access to additional resources throughout the course. These resources are optional should you want to deepen your knowledge of a particular aspect of the course. However, the time taken to access the resources is not included in the 1 hour time frame given to complete the course.


This course was developed by The GatewayC Development Team, with digital and design support being provided by The Christie’s Digital Learning Team.

The following individuals were involved in the development of this course:

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Dr Richard Simcock

Dr Richard Simcock is a Consultant Clinical Oncologist and a Consultant Medical Adviser at Macmillan Cancer Support. In his clinical role, Dr Simcock works in multidisciplinary teams providing the best quality treatment for patients in Sussex with breast cancer and head and neck cancers.

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Jo Taylor

Jo Taylor was diagnosed with breast cancer in 2007, when she was 38. She underwent reconstructive surgery, chemotherapy and radiotherapy and was started on hormonal therapy. Through her organisation ABCD, After Breast Cancer Diagnosis, she works to support women with breast cancer and to raise awareness of the risk of metastatic disease.

Natalie Woodford

Natalie Woodford was diagnosed with breast cancer in 2007. She experienced neck pain and symptoms affecting her vision, memory and lungs before scans revealed she had secondary breast cancer in the bone in 2017. After experiencing pains on the left-hand side of her body, she was further diagnosed with numerous small brain tumours.

This course is supported by Breast Cancer Now and Macmillan.

Copyright and Reviews

All content copyright is owned by The Christie NHS Foundation Trust, Wilmslow Road, Manchester, M20 4BX, UK

Date of publication: February 2021
Date of last review: February 2021

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