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NCCN QUICK GUIDE
Breast Cancer – Metastatic (STAGE IV), Version 1.2017
What are the treatment options?
For all cancers
A clinical trial is a type of research that studies new
health tests and treatments.
Ask your treatment team if there is an open clinical trial
that you can join.23
Chemotherapy may be given first if the cancer is quickly
growing within internal organs
If you’re in premenopause, options include treatments
that limit the ovaries from making hormones given with
treatments for women in postmenopause.
If you’re in postmenopause, options are treatments that
block hormones from cancer cells or block a protein that
makes estrogen. Treatments that stop certain growth
signals within cancer cells may be added.28
If HER2-negative cancer, an option is chemotherapy.34
If HER2-positive cancer, options include treatment that
targets HER2 given with or without chemotherapy.35
Is the treatment working?
Different types of tests will be repeated on a regular basis to check treatment
results. Some tests will be the same as those given before treatment.36
What are some tips for making good treatment decisions?
Ask your doctors many questions. Also, you could get a second opinion, attend
support groups, and compare pros and cons.40
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