First Person: Breast Cancer Treatment Questions to Discuss With Your Doctors

I was diagnosed with breast cancer on November 10, 2011. My particular type of cancer is infiltrating ductal carcinoma. By nature, I ask a lot of questions. This has given me the ability to know all of my options--unpleasant as some may be. Asking questions about your cancer treatment empowers you to take control over this disease.

What are my surgical options?

I asked my surgeon about all of the options available to me including lumpectomy and breast conserving surgery. If you require a mastectomy--ask about skin saving surgery if you plan on having breast reconstruction. My decision will be made on December 14, 2011.

Are chemo, radiation and surgery the only options?

I have huge fears and issues about chemo. Having a mastectomy may eliminate the need for me to undergo chemo. Multiple treatments are available for my breast cancer. A medical oncologist will design a treatment plan that is specific to my situation. Hormone therapy, biological therapy, natural and nutritional therapy, and clinical trials are options for treatment. These are used in conjunction with or instead of more traditional therapies. My final decision will be made after my surgery.

Is immediate breast reconstruction an option for me?

Depending on the type of surgery you decide on, immediate breast reconstruction may be an option for you. Discuss this with your surgeon, reconstruction specialist and oncologists prior to surgery. I plan to wait until sometime in 2012 to have reconstruction done. My own body tissue will be used for reconstruction.

Can you refer me to oncologists and experts in breast reconstruction?

Ask your surgeon for referrals and request that either his office or your Breast Health Navigator make the appointments for you. Dealing with a new diagnosis of cancer is enough for you to handle right now. My surgeon's office is coordinating all of my appointments and referrals.

Know your pathology report

Request a copy of your pathology report in advance of your meeting with your doctor. Tell them when you make the appointment that you will need at least 30 minutes to discuss things with your physician. I had a copy to read at my biopsy follow-up appointment. It was five pages long. My visit took an hour because I asked about everything. You have the right to see everything in your chart and medical records. Read it and ask for explanations about anything you do not understand. If your doctor will not take the time to explain things to you so that you understand them--get a new doctor.

Should I have genetic testing?

Your insurance will cover most of the testing, provided you meet certain criteria. The test results will determine if you have the BRCA1 or BRCA2 gene mutations that put you at a higher risk for breast and ovarian cancer. I decided to have this testing done. It takes two weeks to get the results back. I am still waiting.

Are there sexual side effects to breast cancer treatments?

Some cancer treatments will have side effects that effect your ability to be intimate with your partner. Chemo and hormone treatments can bring on early menopause--others can impact your fertility. Chemotherapy drugs may reduce or eliminate your sex drive. Discuss all potential side effects of surgery, drug therapy, hormone therapy, biological therapy, chemo and radiation with your physicians.

I cannot deal with this--where can I get help?

Even the strongest of us may need help coping after our diagnosis. The American Cancer Society has many resources available for you--I enrolled in the Reach to Recovery program.

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