Jun 26, 2007 04:54PM Beesie wrote:If your mother prefers to go with the breast specialist, I don't think there will be any problem. What you have to remember is that cancer cells are microscopic - even the first surgeon wouldn't be able to "see" where to operate and with all the surgeries that he does, it's unlikely that he'd remember exactly what area of tissue he removed last time. The way that either surgeon will know where to cut by analysing the mammogram, ultrasound and/or MRI films, and by reviewing the pathology report from the first surgery. In all likelihood, prior to surgery blue dye will be injected into the specific area that needs to be removed, with a mammogram used as a guide to highlight the right area. So whether it's the first surgeon or a new surgeon shouldn't make any difference.
As for the surgeon telling your mother that everything is okay, the only way he can do that is with a pathology report in hand. If the pathology report shows clean margins, then your mother is okay. If the margins aren't clean, then more surgery will be needed. This would be the same for either surgeon.
I did change from a general surgical oncologist to one who specialized in breast cancer after my excisional biopsy. I ended up needing to have a mastectomy because my cancer was too widespread to make a lumpectomy a viable choice, but if I'd had a lumpectomy, I wouldn't have been concerned about changing surgeons between operations.