When a breast exam or mammogram points to something suspicious, doctors refer patients for a biopsy. During this procedure, a small sample of cells or tissue from the suspicious area is collected using surgery, needles, or other techniques. After the sample is removed, it is sent to a lab for testing.
If the test results say cancer was found, you may want to seek a second opinion to confirm the diagnosis. Before getting a second opinion, you may want to contact your insurance company to find out what your policy covers.
First, ask your doctor for a referral to a breast cancer specialist, or call hospitals or medical centers that treat breast cancer. The National Cancer Institute has labeled some centers as providing state-of-the-art, up-to-date cancer treatment. You can get a list of these centers by calling the Cancer Information Service at 1-800-422-6237. Get the names of several doctors and hospitals that offer the newest, most effective treatments and have the most experience in treating breast cancer.
When getting a second opinion, you'll want the doctor to make sure the initial diagnosis is based on expert review at an institution experienced in identifying different types of cancers and disease stages.
When you have cancer, getting the right treatment the first time is very important. You'll want to ask the second-opinion doctor to evaluate the treatment planned for you to ensure it's the latest therapy with the best chance of treating the type of cancer you have.
Consider these questions when seeking a second opinion for breast cancer:
- Are the doctors who treat and diagnose breast cancer board-certified?
- Is the hospital accredited by the Joint Committee on Accreditation of Healthcare Organizations and the American College of Surgery?
- Does the American College of Radiology Mammography Accreditation Program accredit the mammography facility?
- Has the hospital been positively and consistently recognized for medical excellence and leadership?
- How many women are treated for breast cancer at the hospital each year?
- How many mammograms are performed each year at this facility?
- How many stereotactic breast biopsies are performed each year?
- How many surgeries to treat breast cancer are performed each year?
- How many women have radiation therapy or chemotherapy for breast cancer at this center?
Range of Services
- Is help available in a full range of specialties?
- Does the hospital offer a variety of options for diagnosing and treating breast cancer?
Participation in Research and Education
- Is the hospital associated with a teaching program?
- Does the hospital have fully accredited residency training programs in specialties related to breast cancer care?
- Does the hospital conduct basic research or clinical trials related to breast cancer?
- How satisfied are hospitalized patients with their experience at this facility?
- How satisfied are outpatients with their experience at this facility?
- Is there a program to help patients and their families with the difficulties that may arise during a hospital stay?
- What is the infection rate following breast cancer surgery at this center?
- What is the average length of stay in the hospital for breast cancer surgery and for breast reconstruction?
- What percentage of women receives breast-conserving surgery (lumpectomy or partial mastectomy)?
- What is the center's success rate for breast reconstruction?