NCCN Guidelines for Patients® | Stages I and II Breast Cancer - page 69

NCCN Guidelines for Patients
Stages I and II Breast Cancer, Version 1.2014
Follow-up care
Hormone therapy check-up | Healthy lifestyle
Hormone therapy check-up
Health care recommendations
Stay on hormone therapy
If you take hormone therapy, it is very important that
you don’t stop taking your medication. If you do, the
cancer will be more likely to return. Tell your doctor
about any side effects that make you think about
quitting. There may be ways to get relief.
ecologic) exam
If you take tamoxifen, a GYN exam is needed each
year since this drug can increase your chances for
cancer of the uterus. For this exam, your doctor will
ask about any abnormal bleeding. If you have seen
any vaginal bleeding that isn’t normal for you, tell your
Bone mineral density
If you take an aromatase inhibitor, you should
have your bone mineral density tested regularly.
Your bone mineral density should also be tested if
cancer treatments caused you to start menopause.
Aromatase inhibitors and starting menopause early
can cause bone loss. Bone mineral density tests
show your doctors how strong your bones are. These
tests use x-rays or sound waves.
Healthy lifestyle
Get better treatment results
Physical activity
Starting or maintaining an active lifestyle is
recommended. Physical activity has been linked to
better treatment results. Ask your treatment team
about ways for you to be more active.
Healthy body weight
Like physical activity, a healthy body weight has been
linked to better treatment results. BMI (
ndex) is a measure of body fat based on height and
weight. A BMI score of 20 to 25 is recommended
in order to have the best overall health and breast
cancer outcomes. Ask your treatment team about
ways to achieve a healthy body weight.
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