Breast Cancer: Follow-up Care

To help ensure you live as full and healthy a life as possible after being treated for breast cancer, our nurse practitioners who specialize in the disease will monitor you for signs that the disease has returned and also watch you carefully to help spot, prevent, and control any long-term or late effects of the disease or treatment.

During your follow-up visit with the nurse practitioner, he or she:

  • reviews your recent medical history and gives you a physical examination
  • does an assessment to detect recurrence (return) of cancer
  • identifies and helps you manage any side effects of cancer or its treatment
  • makes screening referrals for other cancers when appropriate
  • makes healthy-living recommendations related to nutrition, exercise, and quitting tobacco
  • shapes a treatment summary and follow-up care plan for you
  • coordinates consultations with your Memorial Sloan Kettering doctors as needed

The nurse practitioner also draws up a treatment summary and survivorship care plan for you and shares it with your primary care doctor and other medical providers. Your doctors incorporate this information into your overall medical plan. The nurse practitioner updates this plan after each visit.

If you need less care over time, we may discuss the option of transitioning your follow-up care to your primary care physician. The timing for this depends on your particular cancer and treatment. But we’re always available if your doctors ever have a cancer-related question or if a new cancer-related problem arises.

Your Follow-Up Care Team

Kristen Cognetti, NP Kristen Cognetti, NP I am a nurse practitioner with special training in breast cancer survivorship issues. I graduated from the University of Pennsylvania's nurse practitioner program and joined Memorial Sloan Kettering in 2003, working in the women’s health unit and in the breast medical oncology group.


Megan Dunne Megan Dunne, ANP, RN I am a nurse practitioner with special training in breast cancer survivorship issues. I joined Memorial Sloan Kettering in 1990 and graduated from New York University's nurse practitioner program.


Kathleen Keenan Kathleen Keenan, ANP, RN I am a nurse practitioner with special training in breast cancer survivorship issues. I joined Memorial Sloan Kettering in 2002 and graduated from Columbia University's nurse practitioner program. Prior to joining Memorial Sloan Kettering, I worked at Dana-Farber Cancer Institute on the Breast Service.


Becky Steed, NP Becky Steed, NP I am a nurse practitioner with special training in breast cancer survivorship issues. I graduated from the Emory University nurse practitioner program in Atlanta, Georgia, and began working at Memorial Sloan Kettering in 2010. My background is in women’s health.


Jennifer Cagney, NP Jennifer Cagney, NP I am a Nurse Practitioner with specific training in breast medicine. I graduated from the University of Pennsylvania’s oncology nurse practitioner program. I worked at Weill Cornell Medical Center for 10 years as both a RN and NP working with adult oncology patients. I joined Memorial Sloan Kettering in 2012 and worked with Dr. Clifford Hudis, the Chief of the Breast Medicine Service at MSK prior to transitioning to the survivorship program.