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
: Breast Cancer -
Metastatic Disease (STAGE IV)
8 discusses treatment for cancer that
returns in a breast or near to where a
breast is or was.
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.
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.
82 Treatment planning
84 Treatment options