Ideally, breast cancer should be managed by a team of specialist doctors ie a Multi-Disciplinary Team (MDT). This is usually comprised of breast surgeons, radiation and medical oncologists, radiologists, pathologists and plastic surgeons.
Usually, a person is diagnosed by a radiologist and pathologist (the radiologist may find the lump on a mammogram/ultrasound, followed by a biopsy which is interpreted by the pathologist, following which they are referred to the breast surgeon. The surgeon will put together the reports and results as well as interview and examine the patient. The case will then be presented to the rest of the multi-disciplinary team for discussion and consensus on the best treatment approach.
Some patients receive chemotherapy first, in order to shrink cancer prior to surgery.
Some have surgery first
Reconstruction is a part of the treatment discussion from early on.
All treatment decisions are taken in consultation between the various doctors and the patient/their family. It is imperative that patients and families are well-informed at all times. They must based on a good understanding of diagnosis, treatment, and long-term outcomes, decide on the path they wish to follow.
Diagnosing and treating breast cancer .. A team approach
After cancer diagnosis .. Treatment options vary from patient to patient and treatment plans are individualized to best treat particular cancer depending on the type of cancer and stage (size and spread)
