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NCCN Guidelines for Patients


Breast Cancer - Carcinoma in Situ

(stage 0)

, Version 1.2016

It’s your choice

The role patients want in choosing their treatment

differs. You may feel uneasy about making treatment

decisions. This may be due to a high level of stress.

It may be hard to hear or know what others are

saying. Stress, pain, and drugs can limit your ability to

make good decisions. You may feel uneasy because

you don’t know much about cancer. You’ve never

heard the words used to describe cancer, tests,

or treatments. Likewise, you may think that your

judgment isn’t any better than your doctors’.

Letting others decide which option is best may make

you feel more at ease. But, whom do you want to

make the decisions? You may rely on your doctors

alone to make the right decisions. However, your

doctors may not tell you which to choose if you have

multiple good options. You can also have loved

ones help. They can gather information, speak on

your behalf, and share in decision-making with your

doctors. Even if others decide which treatment you

will receive, you still have to agree by signing a

consent form.

On the other hand, you may want to take the lead

or share in decision-making. Most patients do. In

shared decision-making, you and your doctors share

information, weigh the options, and agree on a

treatment plan. Your doctors know the science behind

your plan but you know your concerns and goals. By

working together, you are likely to get a higher quality

of care and be more satisfied. You’ll likely get the

treatment you want, at the place you want, and by the

doctors you want.


Making treatment decisions

It's your choice