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Breast Cancer Treatment Progress Tracking Chart

A Comprehensive Tool for Monitoring Your Cancer Journey

Oncology

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Template Content

Last updated: Mar 24, 2025

Patient Information

  • Name: _________________________
  • Date of Diagnosis: ______________
  • Medical Record #: ______________

Diagnostic Information

Cancer Type & Stage

  • Type: □ Ductal □ Lobular □ Other: _________
  • Stage: □ I □ IIA □ IIB □ IIIA □ IIIB □ IIIC □ IV
  • Grade: □ 1 □ 2 □ 3

Receptor Status

  • ER Status: □ Positive □ Negative
  • PR Status: □ Positive □ Negative
  • HER2 Status: □ Positive □ Negative

Treatment Timeline

Surgery

Date: ____________ Type: □ Lumpectomy □ Mastectomy □ Reconstruction Notes: ________________________

Chemotherapy

Cycle Date Medication Side Effects Blood Counts
1
2
3
4

Radiation Therapy

Session Date Dose Skin Reaction
1-5
6-10
11-15

Follow-up Appointments

Date Type Results Next Steps

Symptom Tracking

Rate symptoms (0-10)

  • Pain: ___
  • Fatigue: ___
  • Nausea: ___
  • Anxiety: ___

Questions for Healthcare Team

Important Contacts

  • Oncologist: ________________
  • Nurse Navigator: ___________
  • Emergency Contact: _________

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