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82

NCCN Guidelines for Patients

®

Breast Cancer - Early-Stage

(STAGES I AND II)

, Version 1.2016

For some women, breast cancer

returns after a cancer-free period.

Breast cancer may return in or near

the breast, near to where a breast

was removed, or in distant sites. If

the breast cancer returns in distant

sites, read the

NCCN Guidelines

for Patients

®

: Breast Cancer -

Metastatic Disease (STAGE IV)

. Part

8 discusses treatment for cancer that

returns in a breast or near to where a

breast is or was.

Treatment planning

Many of the tests that were described in Part 2 are

given if the cancer returns.

See Chart 8.1

. Such tests

include a medical history, physical exam, and imaging

and blood tests. Genetic counseling is also advised

if you have not been tested and hereditary breast

cancer is likely.

In addition to the tests in Part 2, other tests may be

needed for a recurrence. A biopsy of the recurrence

site is advised to confirm there’s cancer. The methods

for the biopsy depend on the site. The imaging tests

described next may also be needed.

Brain MRI

MRI is very useful for viewing the brain. You may

have an MRI if you have symptoms that suggest the

cancer has spread to the brain. Symptoms of cancer

in the brain include chronic headaches, seizures,

loss of balance, difficulty walking, speech problems,

changes in vision, weakness on one side of the body,

and personality changes.

8

Breast cancer

recurrence

82 Treatment planning

84 Treatment options

86 Review