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15

NCCN Guidelines for Patients

®

:

Breast Cancer – Metastatic (STAGE IV), Version 2.2017

2

Treatment planning

Blood tests

Blood tests

Doctors test blood to look for signs of disease. For a

blood test, a needle will be inserted into your vein to

remove a sample of blood. The needle may bruise

your skin and you may feel dizzy from the blood

draw. Your blood sample will then be sent to a lab

where a pathologist will test it.

Complete blood count

A CBC (

c

omplete

b

lood

c

ount) measures the number

of blood cells in a blood sample. It includes numbers

of white blood cells, red blood cells, and platelets.

Cancer and other health problems can cause low or

high counts.

Comprehensive metabolic panel

Chemicals in your blood come from your liver, bone,

and other organs. A comprehensive metabolic panel

often includes tests for up to 14 chemicals. The tests

show if the level of chemicals is too low or high.

Abnormal levels can be caused by cancer or other

health problems. Your doctor will use this test to

check how well your organs are working before and

during treatment.

Guide 1. Health care before cancer treatment

Tests and services

Who should get this care?

Medical history

Everyone

Physical exam

Everyone

CBC

Everyone

Comprehensive metabolic panel

Everyone

Chest diagnostic CT scan with contrast

Everyone

Abdomen ± pelvis diagnostic scans (CT or MRI with

contrast)

Everyone

Spine MRI with contrast

Women with certain symptoms

Brain MRI with contrast

Women with certain symptoms

Bone scan or sodium fluoride PET/CT

Everyone

FDG PET/CT

It’s an option

X-rays

Women with certain symptoms or signs

Biopsy

Everyone

Hormone receptor test

Everyone

HER2 test

Everyone

Genetic counseling

Women who may have hereditary breast cancer