NCCN Guidelines for Patients® | Stage IV Breast Cancer - page 12

NCCN Guidelines for Patients
Stage IV Breast Cancer, Version 1.2014
Breast cancer
Risk factors for mesothelioma
Webpages | Review
You may have learned that you have metastatic
breast cancer when first diagnosed or after treatment
for an earlier stage of breast cancer. The next step
is to plan treatment based on test results, your
treatment wishes, and other factors.
Since there are different types of
metastatic breast cancer, your doctor
will want to know all about the cancer
and you so that your treatment can
be tailored to you. This is called
personalized medicine. Part 2
describes the recommended tests for
stage IV breast cancer.
General health tests
Medical history
Your medical history includes any health events in
your life and any medications you’ve taken. Your
doctors will want to know about all your illnesses,
breast biopsies, any prior radiation therapy, and if
you are pregnant. It may help to make a list of old
and new medications while at home to bring to your
doctor’s office. Since breast cancer and other health
conditions can run in families, your doctors will ask
about the medical history of your relatives.
Physical exam
A physical exam is a review of your body for signs of
disease. During this exam, your doctor will listen to
your lungs, heart, and gut. He or she will also look at
and touch your breasts and nearby lymph nodes to
see if they feel normal. Your breasts may be felt while
you sit or stand up as well as when you recline. This
is called a CBE (
xam). Besides your
breasts, other parts of your body will be felt to see if
organs are of normal size, are soft or hard, or cause
pain when touched.
T tment planning
10 General health tests
11 Blood tests
12 Imaging tests
13 Biopsy
14 Cancer cell tests
15 Genetic counseling
16 Review
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