C.A.R.E.

Cancer again

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Having cancer one time seems like one too many, so having a second diagnosis can seem unfathomab­le. Whether a new type has developed or the same kind has grown back, it ignites many of the same feelings as the first diagnosis. Your oncologist will talk with you about different treatment options and how effective each one is likely to be. Much like the first time, you need to ask questions about the plan of action. Be sure you understand the goal of each treatment you are taking.

You might also decide to get a second opinion this time.

Treatment decisions for a recurrence or a second cancer are based on:

• Type of cancer

• Your overall health

• Your personal values and wishes for treatment

• Status of original cancer

• How well you tolerate treatment

• Length of time between the original diagnosis and the recurrence • The cancer’s aggressive­ness

• Your age

Although it may be difficult, try your best not to panic if you learn about a recurrence or a second type of cancer. Just as you did before, talk to your doctor if you are worried about treatment. You need to feel comfortabl­e with this course of action and approach the journey, like you did the first time, the best way you can. Discuss all choices with your cancer care team, those in your support group and especially with members of your family. Once again, only you can make the best decision for you.

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