After the diagnosis, the Thomson, Ga. If the patient's oncologist is late sending her the patient's chart notes or lab results, she calls. Her concern is rooted in personal experience: Dr. Fincher, age 49, is a year breast cancer survivor.
General Physician PC - General Physician, P.C
Using a retrospective cohort study of , female Medicare beneficiaries with a diagnosis of breast cancer in SEER registries during the years —, we examined the total number of office visits to primary care physicians and non—primary care physicians in a month period before cancer diagnosis. For women with invasive cancers, we examined the odds of diagnosis of late-stage disease, according to the American Joint Commission on Cancer AJCC stages III and IV vs stages I and II , and survival breast cancer specific and all cause using logistic regression and proportional hazards models, respectively. We also explored whether including noninvasive cancers, such as ductal carcinoma in situ DCIS , would alter results and whether prior mammography was a potential mediator of associations. Primary care physician visits were associated with improved breast cancer outcomes, including greater use of mammography, reduced odds of late-stage diagnosis, and lower breast cancer and overall mortality. Prior mammography and resultant earlier stage diagnosis mediated these associations in part, but not completely. Similar results were seen for non—primary care physician visits. Results were similar when women with DCIS were included in the analysis.
Common benign breast concerns for the primary care physician
Phone: Fax: Working within the Mass General Cancer Center , our surgeons collaborate closely with a team of physicians to develop treatment plans that meet your individual needs, including:. Our surgeons are breast cancer specialists who have undergone additional specialty training in oncology and offer the highest degree of specialization and expertise. Surgery for breast cancer may be complex, and published data have shown that hospitals and surgeons with the highest volume experience with specific operations have better outcomes.
A new diagnosis of breast cancer is often paired with difficult sensations, emotions and responses including fear, shock, numbness and disbelief, as well as anger, betrayal, grief and sadness. In the midst of this emotional trauma, women must gather information, often learn a new language of medical terms, understand treatment choices and make difficult decisions. Women often report being overwhelmed or at least intensely challenged to make sense of the medical maze. Three specialty areas of central importance in the treatment of breast cancer include: surgical oncology , medical oncology and radiation oncology. Not everyone is treated with all of these modalities, but each is weighed for the benefits offered and for the potential risks incurred.