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NCCN Guidelines for Patients



Breast Cancer – Locally Advanced (STAGE III)

Version 1.2017

Healthy lifestyle

Physical activity

Starting or maintaining an active lifestyle is advised.

Physical activity has been linked to better treatment

results. Ask your treatment team about ways for you

to be more active.

Healthy body weight

Like physical activity, a healthy body weight has been

linked to better treatment results. BMI (






ndex) is a measure of body fat based on height and

weight. A BMI score of 20 to 25 is advised. This will

help you have the best overall health and breast

cancer outcomes. Ask your treatment team about

ways to achieve a healthy body weight.

Healthy diet

Healthy eating includes a balanced diet and eating

the right amount of food. It also includes drinking

enough fluids. Healthy eating and limited alcohol

use may improve treatment results. You may have

special food needs during and after treatment. A

nutritionist—an expert in creating a healthy diet—can



Follow-up care

Healthy lifestyle

Guide 12. Long-term health care

Type of care

How often is this care needed?

Medical history and physical exam

• Between 1–4 times a year as needed for the first 5

years after treatment

◦◦ If results are normal, then repeat every year

starting in the 6


year after treatment


• Every 12 months

◦◦ If you had radiation therapy, start 6–12 months

after radiation ends

Lab and imaging tests for metastases

• If signs and symptoms appear

Medicine check

• On a regular basis

GYN exam if:

◦◦ Taking tamoxifen and uterus is intact

◦◦ As usual for primary care

• Every 12 months

Bone mineral density test if:

◦◦ Taking aromatase inhibitor, or

◦◦ Treatment-related menopause

• Baseline test then get tested on a regular basis

Lymphedema care

• As needed

Healthy lifestyle

• As often as you can