NCCN Guidelines for Patients® | Lung Cancer - Non-Small Cell Lung Cancer
29 NCCN Guidelines for Patients ® : Lung Cancer – Non-Small Cell, 2018 4 Treatment planning Medical history | Physical exam Doctors plan treatment with many sources of information. These sources include tests of your health and the cancer. Part 4 describes who should receive which tests before treatment. Some tests are used to confirm the clinical stage of the cancer. Others are used to know which treatments would work best. Medical history A medical history is needed to plan treatment for all stages of lung cancer. Your medical history includes any health events and medicines you’ve taken in your life. You will be asked about illnesses, injuries, health conditions, and more. It may help to make a list of old and new medications while at home to bring to your doctor’s office. Your doctor will ask about symptoms that may be related to lung cancer. Such symptoms include cough, trouble breathing, chest pain, and weight loss. Knowing which symptoms you have can help your doctors stage the cancer. Some cancers and other health conditions can run in families. Thus, your doctor will ask about the medical history of your blood relatives. You doctor may ask about the health of your siblings, your parents and their siblings, and your grandparents and their siblings. Be prepared to tell who in your family has had what diseases and at what ages. Physical exam Doctors often perform a physical exam along with taking a medical history. A physical exam is a study of your body for signs of disease. To start, your basic body functions will be measured. These functions include your temperature, blood pressure, and pulse and breathing (respiration) rate. Your weight will also be checked. During the exam, your doctor will listen to your lungs, heart, and gut. Your doctor will also look at and feel parts of your body. This is done to see if organs are of normal size, are soft or hard, or cause pain when touched. Cancer and other health conditions can cause organs to become enlarged and hard. Your doctor will also rate your performance status. Performance status is your ability to do daily activities. It is used by doctors to assess if you can undergo certain treatments. Read Part 7 for more information.