NCCN Guidelines for Patients
Breast Cancer – Metastatic (STAGE IV), Version 2.2017
How to use this book
Who should read this book?
This book is about treatment for metastatic breast
cancer. Almost all breast cancers occur in women.
As such, most of this book is written with women
in mind. However, men are treated just like women
except where noted.
Patients and those who support them—caregivers,
family, and friends—may find this book helpful. It is
a good starting point to learn what your treatment
options may be.
Are the book chapters in a
The book chapters follow a common treatment
pathway. Starting with
may be helpful. It
explains what breast cancer is.
lists what health care is needed before
treatment. Cancer tests are used to plan the best
treatment for you.
Not all women get the same treatment. In
treatment options based on cancer features are
listed. Tips for talking and deciding treatment with
your doctor are presented in
Does this book include all
This book includes information for many people.
Your treatment team can point out what applies to
you. They can also give you more information. While
reading, make a list of questions to ask your doctors.
The treatment options are based on science and
the experience of NCCN experts. However, their
recommendations may not be right for you. Your
doctors may suggest other options based on your
health and other factors. If other options are given,
ask your treatment team questions.
Help! What do the words
In this book, many medical words are included.
These are words that your treatment team may say
to you. Most of these words may be new to you. It
may be a lot to learn.
Don’t be discouraged as you read. Keep reading and
review the information. Ask your treatment team to
explain a word or phrase that you do not understand.
Words that you may not know are defined in the text
or in the
. Acronyms are also defined when
first used and in the
. Acronyms are short
words formed from the first letters of several words.
One example is DNA for