Feb 6, 2009 03:22AM NatsFan wrote:
Suki - I also started out with a general surgeon who happened to do a lot of b/c surgery. Then for my second opinion I went to a Breast Center (Hopkins). After my new patient consultation, I decided that they were going to handle all my surgery. One reason was that during that exam, the surgical oncolgist found a palpable lymph node that had been missed by the general surgeon in his exam the week before. They did an immediate needle biopsy on that node and found it was positive, which meant that we knew ahead of time I was going to need a full AND. Her expertise in finding that node saved me from having a SNB come back positive, then have to go back for more surgery to get the rest of the nodes - it was done all at the same time.
My bilat mx with full AND was done by the surgical oncologist, and the ps there installed the expanders at the same time, then later did my DIEP. I benefitted from having an entire team working together and I didn't have to tote records and carry files from mx surgeon to ps - they were already on the same team. All these Centers do is breast cancer, from beginning to end. They stay on top of the latest research and techniques and treat the patient as a whole. It was a world of difference to me.
Maybe some of the Boston ladies here can tell you where some Breast Centers are - I think I've heard some people here talk about Brigham and Women's Center, but I'm sure Boston has others as well. I would highly recommend that you go to a Breast Center for a second or third opinion - even if you don't end up there, it's never a bad thing to have your case reviewed by experts.