Despite guidelines including early detection of recurrence or secondary cancers, the rate of this condition remains relatively unknown on a day to day practice in a cancer Survivorship Clinic. In a community Survivorship Clinic, the incidence of such situation has been retrospectively reviewed for the last 12 months. Since early 2018, 12 % of patients have been diagnosed with recurrent, locally or metastatic or second breast cancer, relapsing NHL or melanoma and serious hematological conditions such as hemolytic anemia and second cancers such as thyroid and CML. In summary, it remains important to be vigilant in such an environment to the symptoms patients may present with.