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NCCN Guidelines for Patients


Breast Cancer - Early-Stage


, Version 1.2016

How to use this book

Who should read this book?

This book is about treatment for stages I and

II breast cancer among women. Patients and

those who support them—caregivers, family,

and friends—may find this book helpful. It may

help you discuss and decide with doctors what

care is best.

Where should I start


Starting with Part 1 may be helpful. It

explains what stages I and II breast cancer

is. Understanding the cancer will help you

understand its treatment. An overview of

treatment options is also given.

Part 2 lists what health care is needed before

treatment. Some types of health care help your

doctors plan treatment. Other health care can

address health issues beyond cancer treatment.

Parts 3 through 7 are a step-by-step guide to

your treatment options. Options are based on

the best science that exists for stages I and

II breast cancer. Part 8 lists key parts to your

health care once you are cancer-free. Part 9

offers some helpful tips on getting the best care.

Does the whole book apply

to me?

This book includes information for many

situations. Your treatment team can help. They

can point out what information applies to you.

They can also give you more information. As

you read through this book, you may find it

helpful to make a list of questions to ask your


The recommendations in this book are based on

science and the experience of NCCN experts.

However, these recommendations may not be

right for you. Your doctors may suggest other

tests and treatments based on your health

and other factors. If other recommendations

are given, feel free to ask your treatment team


Making sense of medical


In this book, many medical words are included.

These are words that you will likely hear from

your treatment team. Most of these words may

be new to you, and it may be a lot to learn.

Don’t be discouraged as you read. Keep reading

and review the information. Don’t be shy to ask

your treatment team to explain a word or phrase

that you do not understand.

Words that you may not know are defined in the

text or in the


. Words in the


are underlined when first used on a page.

Acronyms are also defined when first used

and in the


. Acronyms are short words

formed from the first letters of several words.

One example is DNA for