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NCCN QUICK GUIDE
Breast Cancer – Metastatic (STAGE IV), Version 1.2017
This NCCNQUICK GUIDE
sheet summarizes key points from the complete
NCCN Guidelinesfor Patients ® : Breast Cancer – Metastatic (STAGE IV) .
These guidelines explain which tests and
treatments are recommended by experts in cancer. To view and download the guidelines, visit
NCC N.or g
or, to order printed copies, visitAmazon.com.
What is metastatic breast cancer?
It is cancer that has spread outside the breast to a distant site. Distant sites include
bones, lungs, liver, and the brain. Stage IV breast cancer is metastatic cancer that was
found at diagnosis.12
What health care is needed before treatment?
A report of your health history and an exam of your body14
Blood tests to check for health problems15
Pictures of the insides of your chest with a CT scan16
Pictures of the insides of your belly area and maybe pelvis with CT or MRI scans16
Pictures of your spine, brain, or both with MRI if there may be cancer17
Pictures of your bones with a bone scan or sodium fluoride PET/CT17
Instead, pictures of your bones and insides with FDG PET/CT may be an option17
Pictures of your bones with x-rays if there may be cancer17
Removal of tissue samples to test for cancer18
Tests for two markers—hormone and HER2 receptors—within breast cancer cells18
Advice on genetic tests if your breast cancer risk may have been passed down
from your parents20
What is the treatment approach for metastatic breast cancer?
Often, one treatment is used until it stops working or there are too many side
effects. Then, another treatment is used. This approach is followed until there are
no more options or you become too sick.22
NCCN QUICK GUIDE
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