NCCN Guidelines for Patients® | Stage 0 Breast Cancer - page 20

NCCN Guidelines for Patients
Stage 0 Breast Cancer, Version 1.2014
Ductal carcinoma
in situ
18 Tests
20 Genetic counseling
20 Treatment
26 Risk reduction
27 Follow-up care
28 Review
Part 3 describes the care for DCIS.
DCIS is cancer that starts in the cells
that line the milk ducts of the breasts.
The cancer has not extended beyond
the inside of the ducts.
Getting the right tests and treatments can stop
the cancer from spreading. In Part 3, you will find
information on tests, genetic counseling, treatment,
risk reduction, and follow-up care.
Medical history
Your medical history includes any health events in
your life and any medications you’ve taken. Your
doctor will want to know about all your illnesses,
breast biopsies, any radiation therapy especially
within the chest, and if you are pregnant. It may help
to make a list of old and new medications while at
home to bring to your doctor’s office. Since breast
cancer and other health conditions can run in families,
your doctor will ask about the medical history of your
Physical exam
A physical exam is a review of your body for signs of
disease. During this exam, your doctor will listen to
your lungs, heart, and gut. He or she will also look at
and touch your breasts and nearby lymph nodes to
see if they feel normal. Your breasts may be felt while
you sit or stand up as well as when you recline. This
is called a CBE (
xam). Besides your
breasts, other parts of your body will be felt to see if
organs are of normal size, are soft or hard, or cause
pain when touched.
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