NCCN Guidelines for Patients
Breast Cancer – Locally Advanced (STAGE III)
screening mammograms. They are better at showing
the size and number of tumors.
Ultrasound uses sound waves to make pictures.
A probe will be held on your bare breast while the
pictures are viewed on a screen. The probe may
also be placed below your armpit to view your lymph
Ultrasound is sometimes used to assess the size of a
breast tumor. Ultrasound is also sometimes used to
guide a needle into a tumor during a biopsy. Biopsies
are described more on the next page.
Sometimes, the mammogram and ultrasound
pictures are unclear. In this case, your doctor may
want you to get breast MRI (
maging). This test uses a magnetic field and radio
waves to make pictures of the insides of your
For breast MRI, you must remove your top and bra.
You will lie face down on a table that has padded
openings for your breasts. In the openings, there are
coils that help to make pictures. The table will move
slowly through the machine during the scan.
Chest diagnostic CT scan
omography) takes many pictures of
a body part using x-rays.
See Figure 6
. A computer
combines the x-ray images to make a detailed
picture. Your doctor may want you to receive CT of
your chest. Contrast should be used.
Abdomen ± pelvis diagnostic scans
Tests may suggest a health problem within
your abdomen or pelvis. You may report related
symptoms. A scan can help show if cancer is
present. Either a CT or MRI scan with contrast can
Before MRI, you may be fitted with coil devices that
emit radio waves. Straps may be used to help you
stay in place. During the scan, you will be inside
the machine. An open MRI scanner may be an
option at some health centers. The machine makes
loud noises but you can wear earplugs. The part of
your body that was scanned may feel a bit warm
Figure 6. CT machine
Pictures of the insides of your body can
be made with an imaging test. During the
scan, you will lie on a table that will move
into the tunnel of the imaging machine.
The pictures will be viewed by a doctor
who will look for signs of cancer.
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