More treatment information for breast cancer

More treatment information for breast cancer

For more details on treatment options—including some that may not be addressed in this
document—the National Cancer Institute (NCI) and the National Comprehensive Cancer
Network (NCCN) are good sources of information.
The NCI provides treatment guidelines via its telephone information center (1-800-4-
CANCER) and its Web site (www.cancer.gov). Detailed guidelines intended for use by
cancer care professionals are also available on www.cancer.gov.
The NCCN, made up of experts from many of the nation's leading cancer centers,
develops cancer treatment guidelines for doctors to use when treating patients. Those are
available on the NCCN Web site (www.nccn.org).
What should you ask your doctor about
breast cancer?
It is important for you to have frank, open discussions with your cancer care team. Don't
be afraid to ask questions, no matter how minor you might think they are. Some questions
to consider:
· What type of breast cancer do I have? How does this affect my treatment options and
prognosis?
· Has my cancer spread to lymph nodes or internal organs?
· What is the stage of my cancer and how does it affect my treatment options and
outlook?
· Are there other tests that need to be done before we can decide on treatment?
· Should I consider genetic testing?

· Should I think about taking part in a clinical trial?
· What treatments are appropriate for me? What do you recommend? Why?
· What are the risks and side effects that I should expect?
· How effective will breast reconstruction surgery be if I need or want it?
· What are the pros and cons of having it done right away or waiting until later?
· What will my breasts look and feel like after my treatment? Will I have normal
sensation in them?
· How long will treatment last? What will it involve? Where will it be done?
· What should I do to get ready for treatment?
· Will I need a blood transfusion?
· Should I follow a special diet or make other lifestyle changes?
· What are the chances my cancer will come back with the treatment programs we have
discussed? What would we do if that happens?
· Will I go through menopause as a result of the treatment?
· Will I be able to have children after my treatment?
· What type of follow-up will I need after treatment?
Be sure to write down any questions that occur to you that are not on this list. For
instance, you might want specific information about recovery times so that you can plan
your work schedule. Or you may want to ask about second opinions. Taking another
person and/or a tape recorder to the appointment can be helpful. Collecting copies of your
medical records, pathology reports, and radiology reports may be useful in case you wish
to seek a second opinion at a later time.