My physiotherapist told me on my last visit the other day once in the cancer treatment system I can just call her and arrange an appointment if I have any troubles, without doing a whole new referral. That tells me once the breast cancer treatment is finished I am not just cast back out as normal but I will be monitored here and there a bit more than just an average check up. If you are having any pain or troubles or even getting lethargic with no reason, get back in and get a scan done for early detection. I don't think a hysterectomy is prudent as with any surgery there are always risks. Keep an eye on things though, even 16 years down the track stuff can pop up. Remember to always tell your doctor of past cancer as over the years that info falls so far down the records it can be missed.